Emile Dore Broussard, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

19843 Issued in LA

Practice address

204 North Magdalen Square
Abbeville, LA 70510

Phone

(337) 893-4452

Fax

(337) 893-7870

NPI assigned

Jan 20, 2006

Last updated

Oct 1, 2014By 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

Specialty

Ophthalmology

Education

Louisiana State University School of Medicine in New Orleans, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034

Merit-based Incentive Payment System (MIPS)

Final score

22.63 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

75.44

Procedures performed for Medicare patients

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.

• Emile D. Broussard, M.D. Apmc

  • Ophthalmology Physician
  • Abbeville, LA
  • NPI 1255428496
  Medicare reassignment NPD Authorized official
• Young Eye Clinic, a Professional Medical Corporation

  • Ophthalmology Physician
  • Abbeville, LA
  • NPI 1073550448
  Authorized official Same address or phone
• Palms Surgery Center, LLC

  dba Palms CRNA Services

  • Certified Registered Nurse Anesthetist
  • Abbeville, LA
  • NPI 1700190675
  NPD (past)

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

• Abbeville General Hospital

  • Rural Acute Care Hospital
  • Abbeville, LA
  • NPI 1255300414
  Care Compare affiliation

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1427038744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N. MAGDALEN SQUARE",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705107645",
            "telephone_number": "337-893-4452",
            "fax_number": "337-893-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 NORTH MAGDALEN SQUARE",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "70510",
            "telephone_number": "337-893-4452",
            "fax_number": "337-893-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "EMILE",
        "middle_name": "DORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "19843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922404",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rulanda Briggs
• Timia Briggs
• Stacey Briolo, ST
• Brookshire Grocery Company (Super 1 Pharmacy # 638)
• Christine Claire Broussard, R.N.
• Marcus John Broussard
• Rani P. Broussard, P.T.
• Jamilah Willis Brown, CIT
• Kerry M Brown, MD
• Toni Blanchard Bruce, MCD

• Ophthalmology Physician in Abbeville, LA
• Providers in Abbeville, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.
• 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.