Glenn Jospeh Brousseaur, RESPIRATORY THERAPY

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

LT1561 Issued in LA

Practice address

1601 Perdido St
New Orleans, LA 70112-1262

Phone

(504) 568-0811

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Southeast Louisiana Veterans Healthcare System

  • Clinic/Center
  • New Orleans, LA
  • NPI 1083795991
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083798177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 ALLEN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701222913",
            "telephone_number": "504-948-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PERDIDO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121262",
            "telephone_number": "504-568-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSEAUR",
        "first_name": "GLENN",
        "middle_name": "JOSPEH",
        "name_prefix": "Mr.",
        "credential": "RESPIRATORY THERAPY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "LA",
            "license": "LT1561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Broussard
• Mary Jo Broussard
• Samantha Broussard
• Taylor Alise Broussard
• Tiffany Broussard, NP
• Brower Family and Sports Chiropractic Center, Inc.
• Terrence Thaddeus Brower, LMSW
• Brown Jackson Enterprise LLC (Med-Pro Pharmacy 3)
• Brimmer S Brown Jr.
• Rudolph Thomas Brown Jr. Jr., BS

• Certified Respiratory Therapist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Certified Respiratory Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.