Ian Matthew Broussard, D.O.
Emergency Medicine · Myrtle Beach, SC
At a glance
809 82Nd Pkwy, Myrtle Beach, SC 29572-4607
NPPES record updated Jun 12, 2017. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
809 82Nd Pkwy Grand Strand Medical Center Gme OfficeMyrtle Beach, SC 29572-4607
Education & affiliations
- Medical / professional school
- William Carey University College Of Osteopathic Medicine
- Graduation year
- 2017
- CMS specialties
- Emergency Medicine
Practice groups
Reported hospital affiliations
- Acadia General Hospital Crowley, LA
- Ochsner Lafayette General Medical Center Lafayette, LA
- Ochsner University Hospital And Clinics Lafayette, LA
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Emergency Medicine
- Taxonomy code
- 207P00000X
- Enumeration date
- Mar 21, 2017
- Record updated
- Jun 12, 2017
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- D.O.
Reported taxonomies and licenses
390200000X
207P00000X · Primary
License reported: LL41064 SC
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
809 82Nd PkwyGrand Strand Medical Center Gme Office
Myrtle Beach, SC 29572-4607
- Phone
- (843) 692-1752
- Fax
- (843) 692-1904
Mailing address
809 82ND PKWYGRAND STRAND MEDICAL CENTER GME OFFICE
MYRTLE BEACH, SC 295724607
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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