Jamie W Broussard, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

024729 Issued in LA

Practice address

3223 8TH St
Metairie, LA 70002-1623

Phone

(504) 833-7770

Fax

(504) 833-7796

NPI assigned

Oct 12, 2006

Last updated

Jul 10, 2009By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascension Emergency Physicians LLC

  • Emergency Medicine Physician
  • Gonzales, LA
  • NPI 1699118505
  Medicare reassignment NPD
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  NPD (past)
• C&M Medical Services-St Charles LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Luling, LA
  • NPI 1407148133
  NPD (past)
• C&M Medical Services-St Elizabeth LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gonzales, LA
  • NPI 1639474257
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1306935499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 8TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021623",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 8TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021623",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "JAMIE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "024729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1574937",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Elaine Broussard, CCC-SLP
• Courtney J Broussard, CRNA
• Crystal Broussard, PHD, LCSW
• Deborah Ann Broussard, O.D.
• Erika May Broussard, FNP
• Laverne Broussard
• Madeleine Marie Barbara Broussard
• Mandy L Broussard, CRNA
• Trella Simone Broussard
• Robert G Brousse, M.D.

• Emergency Medicine Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.