Broussard, Gerard J.
Broussard, Gerard J. is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 409 , Baton Rouge LA 70808-4365. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Broussard, Gerard J. can be contacted via phone (225) 765-5864.Contact Information
Primary practice address
7777 Hennessy Blvd Ste 409
Baton Rouge LA 70808-4365
Phone: (225) 765-5864
Fax: (225) 765-2013
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 09989R | Louisiana |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.09989R | Louisiana |
Profile Details
NPI number | 1720048226 |
---|---|
LBN Legal business name | Broussard, Gerard J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2006 |
Last updated | Aug 25th, 2022 - about 2 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 | 1720048226 | NPPES |
Louisiana | MEDICAID | 1978523 | |
Louisiana | Other | P00234642 |
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