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NPISignal

Individual Healthcare Provider

Camille Angela Broussard, M.D., M.P.H.

NPI Record: ActivePediatrics — Adolescent Medicine
NPI1134461569
Annapolis, Maryland

Provider's NPPES record last updated: April 29, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1134461569
Primary Specialty
Pediatrics — Adolescent Medicine
Practice Location
Annapolis, Maryland
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 4:30 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Adolescent Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

    Taxonomy code 2080A0000X
  • Preventive Medicine

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

    Taxonomy code 2083A0300X

Provider-Reported License Information

Pediatrics (Maryland)
D0081897
Preventive Medicine (Maryland)
D0081897
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

200 Forbes St Ste 200

Annapolis, Maryland 21401-1527

Phone: (410) 263-6363

Additional Practice Location

The Johns Hopkins Hospital

1800 Orleans Street

Baltimore, Maryland 21287-0001

Phone: (410) 955-2727

Record Information

Enumeration Date
March 24, 2013
Provider's NPPES Record Last Updated
April 29, 2026
Certification Date
April 29, 2026
NPISignal NPPES Dataset
August 2026

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