Doctor profile · Federal record
Dr. Andre Broussard, M.D.
Pediatric Sports Medicine Physician · New York, NY
- NPI 1710069695
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1901 First Ave, 523
New York, NY 10029
(212) 423-6228
fax (212) 534-7831 - Mailing address
-
1901 1St Ave, Room 523
New York, NY 100297404
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- November 29, 2007
- Specialty taxonomy
- 2080S0010X — NUCC code
- State license (1)
- New York #MD126425
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710069695. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sumitomo Pharma America, INC. | 1 | $13.70 |
By nature of payment
Frequently asked questions
What is Dr. Andre Broussard's medical specialty?
Dr. Andre Broussard practices Pediatric Sports Medicine Physician in New York, NY.
Where does Dr. Andre Broussard practice?
Dr. Andre Broussard practices at 1901 First Ave, New York, NY 10029. Office phone: 2124236228.
What is Dr. Andre Broussard's NPI?
Dr. Andre Broussard's National Provider Identifier (NPI) is 1710069695, issued by NPPES.