Nikki Ilona Broussard, CRNP
Nephrology Physician · Dothan, AL
Nikki Ilona Broussard, CRNP is a nephrology physician with a practice address in Dothan, Alabama, and NPI 1043034580, issued on Nov 12, 2024. Check the license (Alabama 1-121127, as entered in NPPES) on the Alabama Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Nikki Ilona Broussard
- Credential
- CRNP
- Primary taxonomy
- Nephrology Physician 207RN0300X
- License number
- 1-121127 AL
Self-reported in NPPES; status is on the state search - Practice location
- 207 Haven Dr, Dothan, AL 36301
- Phone
- (337) 793-3319
- Enumerated
- Nov 12, 2024
- Record last updated
- Nov 12, 2024
- Medicare enrollment
- Enrolled (PECOS I20250313000973); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 207 Haven Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ganjur Guru-Prakash, M.D.Nephrology Physician1386730059
- Sarah Helms, RNPsychiatric/Mental Health Registered Nurse1649462292
- Linda Hetrick, LPNLicensed Practical Nurse1083807424
- Jerome Hire, L.C.S.W.Clinical Social Worker1104916329
- Melissa Holman, CRNPRegistered Nurse1669567608
- Nowoghomwenma Ibie, MDNephrology Physician1073742953
Verify Nikki Ilona Broussard in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersAlabama Board of Medical Examiners
Search for license 1-121127Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Dothan Hypertension Nephrology AssociatesDothan, AL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nephrology Physician providers in Alabama
There are 183 nephrology physician records in Alabama.
Other nephrology physician records in Alabama
- Sheeraz Abro, MDBirmingham, AL1295413318
- Anupam Agarwal, MDBirmingham, AL1942217179
- Gaurav Agarwal, M.D.Birmingham, AL1649293382
- Faris AhmedBirmingham, AL1881805372
- Emad Al Jaber, M.D.Mobile, AL1477920528
- Alian Al-BalasBirmingham, AL1184936304
- Syed Hammad Alam, MDHuntsville, AL1275081697
- Geoffrey Alilonu, M.D.Northport, AL1144295221
- Michael AllonBirmingham, AL1043265762
- Ammar AlmehmiBirmingham, AL1497798219
Common questions
What is Nikki Ilona Broussard, CRNP's NPI number?
Nikki Ilona Broussard, CRNP's National Provider Identifier (NPI) is 1043034580, issued on Nov 12, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Nikki Ilona Broussard, CRNP located?
The NPPES record lists a practice address at 207 Haven Dr, Dothan, AL, 36301. Phone: (337) 793-3319. Providers update this record themselves, so call before visiting.
How can I verify Nikki Ilona Broussard, CRNP's license?
NPPES lists Alabama license number 1-121127, as entered by the provider. Search the Alabama Board of Medical Examiners at https://www.albme.gov/. 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.
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.