Broussard, Brad
Broussard, Brad is an individual health care provider with primary practice located at 155 Hospital Dr. Ste 206 , Lafayette LA 70503. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Broussard, Brad can be contacted via phone (337) 234-3204.Contact Information
Primary practice address
155 Hospital Dr. Ste 206
Lafayette LA 70503
Phone: (337) 234-3204
Fax: (337) 234-3599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M3171 | Texas |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | M3171 | Texas |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | M3171 | Texas |
Profile Details
NPI number | 1275551509 |
---|---|
LBN Legal business name | Broussard, Brad |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Sep 4th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275551509 | NPPES |
Other | P00473770 | RR MCR | |
Other | 8DCN 1365642 TICKET | RR MCR | |
MEDICAID | 181131701 | RR MCR | |
Other | 8M1458 | RR MCR |
Popular Providers
-
Vincent, Chad Allen
4801 Ambassador Caffery Pkwy , Lafayette LA 70508-6917 -
Smothers, Ruth L
1011 Surrey Street , Lafayette LA 70509-1450 -
Yazdi, Masoud
224 Saint Landry St Suite 1-C, Lafayette LA 70506-3549 -
Saccaro, Steven Joseph
1211 Coolidge Blvd Ste 100 , Lafayette LA 70503-2638 -
Louis, Charles
3911 Moss St , Lafayette LA 70507-4533 -
Rochon, Brent J
5000 Ambassador Caffery Pkwy Bldg #1, Lafayette LA 70508 -
Lebean, Bryan Anthony
2930 Moss St Suite B, Lafayette LA 70501-1274 -
Clarke, Andrew F.
4801 Ambassador Caffery Pkwy , Lafayette LA 70508-6917