Judd Tanner Broussard, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP04874 Issued in LA

Practice address

1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5783

Phone

(337) 988-5646

Fax

(337) 988-4298

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Los Anesthesia Services LLCGroup PAC ID 0345760666, 10 clinicians

Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Los Anesthesia Services LLC

  • Anesthesiology Physician
  • Lafayette, LA
  • NPI 1508687419
  Medicare reassignment Care Compare group NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Precision Anesthesia of Lafayette LLC

  • Certified Registered Nurse Anesthetist
  • Lafayette, LA
  • NPI 1285117879

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Los Orthopaedic and Spine Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lafayette, LA
  • NPI 1457127938
  NPD
• Parish Anesthesia Associates, LTD Apmc

  • Certified Registered Nurse Anesthetist
  • Metairie, LA
  • NPI 1942252150

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Parish Anesthesia of New Orleans, LLC

  • Anesthesiology Physician
  • New Orleans, LA
  • NPI 1134266380
  NPD (past)
• Ashland Anesthesia, P.S.C.

  • Anesthesiology Physician
  • Ashland, KY
  • NPI 1700830916

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1073612693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD STE 304",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085784",
            "telephone_number": "337-988-5646",
            "fax_number": "337-988-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "address_2": "SUITE 304",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "337-988-5646",
            "fax_number": "337-988-4298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086917",
            "country_code": "US",
            "telephone_number": "337-470-2574",
            "fax_number": "337-470-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "JUDD",
        "middle_name": "TANNER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP04874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1581160",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Ryan Broussard II, MSN, APRN, PMHNP-BC
• Jessica Broussard, FNP-C
• Joan T. Broussard, A.C.N.P.
• Jodi K Broussard, R.D.
• John Joseph Broussard
• Jude John Broussard, PHARM D
• Kelli Broussard
• Kenrard Broussard
• Kent Allan Broussard
• Kim P. Broussard, CRNA

• Certified Registered Nurse Anesthetist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.