Individual provider · Type 1 NPI

Ian Matthew Broussard, DO

Emergency Medicine Physician · Myrtle Beach, SC

NPI number 1871024968 Active

Practice location

809 82nd Pkwy, Grand Strand Medical Center Gme Office
Myrtle Beach, SC 29572-4607

Call (843) 692-1752 Map

Fax (843) 692-1904

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Emergency Medicine Physician Primary 207P00000XLL41064 (SC)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1871024968

Ian Matthew Broussard, DO's National Provider Identifier is 1871024968, issued on Mar 21, 2017. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 12, 2017.