Individual provider Active NPI

Robert G Brousse, M.D.

  • Specialist
  • Metairie, LA
National Provider Identifier
1699873141
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
019015 Issued in LA
Practice address
4228 Houma Blvd
Suite 110
Metairie, LA 70006-3000
Phone
(504) 455-3434
Fax
(504) 455-5477
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 019015 LA Primary

Addresses

Primary practice location

4228 Houma Blvd
Suite 110
Metairie, LA 70006-3000

Mailing address

4228 Houma Blvd
Suite 110
Metairie, LA 70006-3000
Phone (504) 455-3434

Other identifiers 1

IdentifierTypeStateIssuer
1373001MedicaidLA

Other names 1

  • Dr. Robert G Brousse Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080723000119 LA Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 3476626557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Louisiana State University School of Medicine in New Orleans, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4228 Houma Blvd
Metairie, LA 70006-3001
Phone (504) 455-3434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019015LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Plaza ENT Physicians a Professional Medical Corp Otolaryngology CurrentSince Jul 1, 1966 Accepting new patients
Medical Plaza Hearing, L.L.C. PastSince Mar 28, 2021 Accepting new patients

Locations

4228 Houma Blvd
Ste 110
Metairie, LA 70006
Phone (504) 455-3434

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1699873141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "SUITE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-455-3434",
            "fax_number": "504-455-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "SUITE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-455-3434",
            "fax_number": "504-455-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSE",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "019015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1373001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "BROUSSE",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.