Broussard Surgery Institute, Inc.

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

124 Issued in LA

Legal business name

BROUSSARD SURGERY INSTITUTE, INC.

Practice address

1250 Pecanland Rd
Suite E-1
Monroe, LA 71203-7011

Phone

(318) 387-2015

Fax

(318) 387-2097

NPI assigned

Jun 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danica G Nelson

Title

Business Manager

Phone

(318) 387-2015

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Broussard Surgery Institute IncCCN 19C0001031

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649215765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PECANLAND RD",
            "address_2": "SUITE E-1",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712037011",
            "telephone_number": "318-387-2015",
            "fax_number": "318-387-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PECANLAND RD",
            "address_2": "SUITE E-1",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712037011",
            "telephone_number": "318-387-2015",
            "fax_number": "318-387-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUSSARD SURGERY INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DANICA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "318-387-2015"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "LA",
            "license": "124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1925276",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookshire Grocery Company (Super 1 Pharmacy)
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• Brookshire Grocery Company (Brookshires Pharmacy)
• Broussard Cataract & Eye Institute
• Broussard Cataract & Eye Institute
• Dustin Cole Broussard, CRNA
• Gerald Ball Broussard, MD
• Latrisha Broussard, PHARM D
• Sandra Browder, APRN, AG-ACNP
• Janelle W Brower, NP

• Ophthalmologic Surgery Clinic/Center in Monroe, LA
• Providers in Monroe, LA by specialty
• Ophthalmologic Surgery Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.