Toby D. Broussard, M.D., Apmc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20450 Issued in LA

Legal business name

TOBY D. BROUSSARD, M.D., APMC

Practice address

1270 Attakapas Dr
Ste 101
Opelousas, LA 70570-6549

Phone

(337) 407-0893

NPI assigned

Jun 9, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Toby D Broussars, M.D.

Title

Owner

Phone

(337) 407-0893

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toby D Broussard, M.D.

  • Surgery Physician
  • Edmond, OK
  • NPI 1770587636
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003810979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705711206",
            "telephone_number": "337-407-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 ATTAKAPAS DR",
            "address_2": "STE 101",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706549",
            "telephone_number": "337-407-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBY D. BROUSSARD, M.D., APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUSSARS",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-407-0893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "20450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1989592",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Thomas
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• Thrift Clinic Pharmacy on Union, LLC
• Adenike Abimbola Tinubu, M.D.
• Trahan Medical Corporation
• Trahan Medical LLC
• Jason Trahan, MD
• Katherine D Trahan
• Diana Tran, OD

• Surgery Physician in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.