Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael Paul Broussard, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1043491921

Mr. Michael Paul Broussard, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Baltimore, Maryland. Qualified in 2007, 19 years ago. Practices with Digestive Disease Associates LLC, a 46-clinician group and works from 2 locations. Licensed in Maryland.

Years since qualifying
19
Licensed in
MD
In the registry since
2007
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-6704
Fax: (410) 328-4124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Orleans St, Baltimore, MD 21287-0010 — (410) 502-2037

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R133503 (MD)

Record details

NPI number1043491921
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 19, 2007
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Digestive Disease Associates Llc — 46 clinicians
Accepts Medicare assignment Not indicated
Practice locations7 on file with Medicare

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