Richard Kent Broussard LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

018918 Issued in LA

Legal business name

RICHARD KENT BROUSSARD LLC

Doing business as

Richard K. Broussard, MD

Practice address

439 Heymann Blvd
Lafayette, LA 70503-2616

Phone

(337) 269-0963

Fax

(337) 269-0553

NPI assigned

Jan 2, 2007

Last updated

Jul 1, 2010By 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

Richard Kent Broussard, M.D.NPI 1639245798

Title

Owner

Phone

(337) 269-0963

Specialties & licenses 1

Addresses

Other names 1

• Richard K. Broussard, MD Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard K. Broussard, M.D.

  • Gastroenterology Physician
  • Lafayette, LA
  • NPI 1639245798
  Authorized official Same address or phone

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1699832345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-269-0963",
            "fax_number": "337-269-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-269-0963",
            "fax_number": "337-269-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD KENT BROUSSARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-269-0963",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "018918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard K. Broussard, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Brewer Rice, LAT, ATC
• Margaret Ann Rice, M. D.
• Riceland Recovery, LLC (Riceland Recovery)
• Riceland Recovery, LLC (Riceland Recovery Clinic)
• Richard J Piccione MD Apmc
• Leroy Joseph Richard Sr, P.A.
• Billie Sarah Richard
• Brandon J Richard, PH.D.
• Bri'Ante Lacole Richard
• Casey Lynn Richard I

• Specialist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.