Individual provider · Type 1 NPI

Michael Broussard, DPM

Podiatrist · Charlotte, NC

NPI number 1427793074 Active

Practice location

13430 Hoover Creek Blvd # 200
Charlotte, NC 28273-0054

Mailing address

3812 Holly Oak Dr Unit 15
Fayetteville, NC 28314-1291

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000X811 (NC)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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About NPI 1427793074

Michael Broussard, DPM's National Provider Identifier is 1427793074, issued on Apr 28, 2022. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 24, 2026.