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Alliance Regenerative and Performance Medicine, Pllc

Sports Medicine (Family Medicine) Physician in St Petersburg, FL · enumerated 2021 · authorized official John Broussard, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104418292

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Registry record

Entity type Organization (Type 2)
Legal business name Alliance Regenerative and Performance Medicine, Pllc
Practice address 111 2nd Ave Ne Ste 1401, St Petersburg, FL, 33701
Phone (727) 258-7224
Enumeration date Feb 9, 2021
Last updated in NPPES Feb 9, 2021

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name John Broussard
Title Owner
Phone (727) 258-7224

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Alliance Regenerative and Performance Medicine, Pllc?
Alliance Regenerative and Performance Medicine, Pllc is registered in NPPES as a Sports Medicine (Family Medicine) Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-09.