Julie Guilbeau Broussard, MD
Individual provider Active NPI Anesthesiology Physician · Galveston, TX
NPI 1104010099 · NPPES record last updated Jan 20, 2011
Key facts
- NPI
- 1104010099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- M6544 (TX)
- Practice address
- 301 University Blvd
Galveston, TX 77555-5302 - Phone
- (409) 772-2222
- Fax
- (409) 772-1224
- NPI assigned
- Sep 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Louisiana State University School of Medicine in Shreveport, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lafayette Health Ventures Inc
Practice addresses (Care Compare)
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Ochsner Lafayette General Medical Center |
Hospital | Corporate Director | Jan 1, 2023 |
| Ochsner Lafayette General Orthopedic Hospital |
Hospital | Corporate Director | Jan 1, 2023 |
| Lafayette Behavioral Health Unit |
Hospital | Corporate Director | Jan 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110818000594 | LA | Practitioner - Anesthesiology | 2961590088 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.202741 | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc. | Anesthesiology | Current |
Accepting new patients |
| Lafayette Health Ventures Inc | Anesthesiology | Current |
Accepting new patients |
| Utmb Faculty Group Practice | Anesthesiology | Past | Accepting new patients |
| Lafayette Health Ventures, Inc | Past | Accepting new patients |
Locations
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 289-7311
1000 W Pinhook Rd
Ste 305
Lafayette, LA 70503
Phone (337) 235-1600
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423
Interoperability endpoints
- jbroussard1443255@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M6544 | TX | Yes |
| Anesthesiology Physician | 207L00000X | MD.202741 | LA |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-5302
Mailing address
301 University Blvd
Galveston, TX 77555-5302
Phone (832) 221-0515
Other names
- Julie Claire Guilbeau
Other providers in Galveston, TX
- Vickie Sue Broderick
- Kimberley Christiane Brondeel
- George Byron Brooks
- Lisa Brooks
- John Broussard
- Barbara B. Brown
- Blair H Brown
- Jennifer Nicole Brown
- Kerrie Brown
- Mikayla Rhea Brown
All providers in Galveston, TX · Anesthesiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.