Individual provider Active NPI

Gerald Ball Broussard, MD

  • Ophthalmology Physician
  • Monroe, LA
National Provider Identifier
1073511903
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
014616 Issued in LA
Practice address
1250 Pecanland Rd
Suite E-1
Monroe, LA 71203-7011
Phone
(318) 387-2015
Fax
(318) 387-2097
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 014616 LA Primary

Addresses

Primary practice location

1250 Pecanland Rd
Suite E-1
Monroe, LA 71203-7011

Mailing address

1250 Pecanland Rd
Suite E-1
Monroe, LA 71203-7011
Phone (318) 387-2015

Other identifiers 1

IdentifierTypeStateIssuer
1324159MedicaidLA

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
I20110112000149 LA Practitioner - Ophthalmology 9638074776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1250 Pecanland Rd
Monroe, LA 71203-7011
Phone (318) 387-2015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14616LAMDPharmacist
014616LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broussard Cataract & Eye Institute Ophthalmology CurrentSince Mar 25, 2003 Accepting new patients

Locations

1250 Pecanland Rd
#E1
Monroe, LA 71203

1250 Pecanland Rd
Ste E
Monroe, LA 71203

1250 Pecanland Rd
Ste E1
Monroe, LA 71203
Phone (318) 387-2015

1250 Pecanland Rd
Monroe, LA 71203
Phone (318) 387-2015

Interoperability endpoints

  • Direct secure messaging: broussard@broussardeye.emadirect.md

Organizations & group practices 1

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073511903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PECANLAND RD",
            "address_2": "SUITE E-1",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712037011",
            "telephone_number": "318-387-2015",
            "fax_number": "318-387-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PECANLAND RD",
            "address_2": "SUITE E-1",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712037011",
            "telephone_number": "318-387-2015",
            "fax_number": "318-387-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "GERALD",
        "middle_name": "BALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "014616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1324159",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.