NPPES file of Aug 9, 2026

Andre Edmond Broussard, M.D.

Pediatric Sports Medicine Physician · New York, NY

Andre Edmond Broussard, M.D. is a pediatric sports medicine physician with a practice address in New York, New York, and NPI 1710069695, issued on Oct 19, 2006. Check the license (New York MD126425, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1710069695
Name
Andre Edmond Broussard
Credential
M.D.
Primary taxonomy
Pediatric Sports Medicine Physician 2080S0010X
License number
MD126425 NY
Self-reported in NPPES; status is on the state search
Practice location
1901 First Ave, New York, NY 10029
Phone
(212) 423-6228
Enumerated
Oct 19, 2006
Record last updated
Nov 29, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(212) 534-7831
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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7 nearest pediatric sports medicine physician records → All 8 in New York → Look up another NPI →

Also registered at 1901 First Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mohamad Al-Rashdan, M.DPsychiatry Physician1417273822
  2. Mahrukh Bamji, M.D.Pediatrics Physician1124102355
  3. Kevin Chaverri Alpizar, M.D.Student in an Organized Health Care Education/Training Program1346092608
  4. Sofiya Kogan, RPHPharmacist1760510077
  5. Kathleen McAllister, P.A.Physician Assistant1851438477
  6. George Morales, LMSWSocial Worker1841589892

Verify Andre Edmond Broussard in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license MD126425    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

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Industry payments in 2024: $13.70

1 payment: food and beverage; the largest payer was Sumitomo Pharma America, Inc. The 57 providers of this specialty with any payment received $242.26 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Andre Broussard$13.70
  2. Specialty average$242.26

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Pediatric Sports Medicine Physician providers in New York

There are 8 pediatric sports medicine physician records in New York.

All 8 in New York → Every provider in New York → Pediatric Sports Medicine Physician nationwide →

The 7 pediatric sports medicine physician records with the nearest ZIP codes

  1. Jordan Metzl, M.D.New York, NY 100211972566495
  2. Tiana Woolridge, MD, MPHNew York, NY 100211609404185
  3. James Tucci, M.D.New York, NY 100381477528107
  4. Eric Small, MDHartsdale, NY 105301336295187
  5. Angela Gagliardi, MDHawthorne, NY 105321598745820
  6. Warren Young, M.D.White Plains, NY 106041285895490
  7. Danielle Magrini, DOWoodbury, NY 117971043636194

Common questions

What is Andre Edmond Broussard, M.D.'s NPI number?

Andre Edmond Broussard, M.D.'s National Provider Identifier (NPI) is 1710069695, issued on Oct 19, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Andre Edmond Broussard, M.D. located?

The NPPES record lists a practice address at 1901 First Ave, New York, NY, 10029. Phone: (212) 423-6228. Providers update this record themselves, so call before visiting.

How can I verify Andre Edmond Broussard, M.D.'s license?

NPPES lists New York license number MD126425, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.