Individual provider Active NPI

Morgan Bankston Broussard, M.D.

  • Obstetrics & Gynecology Physician
  • Baton Rouge, LA
National Provider Identifier
1063946689
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
326390 Issued in LA
Practice address
500 Rue de la Vie St Ste 100
Baton Rouge, LA 70817-5128
Phone
(225) 201-2000
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 326390 LA Primary

Addresses

Primary practice location

500 Rue de la Vie St Ste 100
Baton Rouge, LA 70817-5128

Mailing address

500 Rue de la Vie St Ste 100
Baton Rouge, LA 70817-5128
Phone (225) 201-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712003911 LA Practitioner - Obstetrics/Gynecology 1951703032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Women'S Healthcare Associates LLCGroup PAC ID 4587629365, 37 clinicians

Practice addresses (Care Compare)

500 Rue de la Vie St
Baton Rouge, LA 70817-5127
Phone (225) 201-2000

Hospital & facility affiliations

  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Oct 15, 2023 Accepting new patients
Louisiana Women'S Healthcare Associates LLC. Obstetrics & Gynecology CurrentSince Sep 1, 2021 Accepting new patients
Lsuhn Billing LLC CurrentSince Oct 15, 2023 Accepting new patients
Woman'S Hospital Foundation Past Accepting new patients

Locations

500 Rue de la Vie St
Ste 100
Baton Rouge, LA 70817
Phone (225) 201-2000

16 Infirmary Rd
Baton Rouge, LA 70803
Phone (225) 578-6716

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

3000 34th St
Metairie, LA 70001
Phone (504) 224-2506

Interoperability endpoints

  • Direct secure messaging: mbankston5300516@direct.casso.us.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1063946689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-201-2000",
            "fax_number": "225-201-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-201-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "MORGAN",
        "middle_name": "BANKSTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "326390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.