Active NPI
Alan P. Broussard, MD
- Family Medicine Physician
- Breaux Bridge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 022215
- Practice address
- 100B Champagne Blvd
Breaux Bridge, LA 70517-3852 - Phone
- (337) 261-5151
- NPI assigned
- Oct 7, 2005
- Last updated
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 022215 | LA | Primary |
Addresses
Primary practice location
100B Champagne Blvd
Breaux Bridge, LA 70517-3852
Mailing address
100B Champagne Blvd
Breaux Bridge, LA 70517-3852
Phone (337) 261-5151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00185378 | Other | LA | RAILROAD MEDICARE |
| 1674133 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000
Hospital & facility affiliations
- First Option Home Health
- Ochsner University Hospital and Clinics
- Ochsner Lafayette General Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.05 of 100
- Quality
- 82.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Lsuhn Billing LLC | Family Medicine | Current | Accepting new patients |
| Deidre L Stelly MD Apmllc | Family Medicine | Past | Accepting new patients |
Locations
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
Interoperability endpoints
- abroussard1443545@direct.ochsner.org
Organizations & group practices 3
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
-
- Family Medicine Physician
- Breaux Bridge, LA
- NPI 1902894637
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lafayette, LA
- NPI 1063597029
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
dba Ochsner University Hospital & Clinics
- General Acute Care Hospital
- Lafayette, LA
- NPI 1306281126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1700874468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100B CHAMPAGNE BLVD",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705173852",
"telephone_number": "337-261-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100B CHAMPAGNE BLVD",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705173852",
"telephone_number": "337-261-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUSSARD",
"first_name": "ALAN",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "022215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00185378",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1674133",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Breaux Bridge, LA
- Breaux Bridge Family Dentisrty
- Breaux Bridge MM LLC (Minute Med Clinic, LLC)
- Breaux Bridge Physical Therapy and Wellness LLC (Breaux Bridge Physical Therapy and Wellness)
- David Breaux, PT
- Brookshire Grocery Company (Super 1 Pharmacy #646)
- Shirleen Ann Broussard, M.ED.,CCC-SLP
- Terrell Broussard
- Breanna Brown, LCSW
- Arielle Butler
- Tionne Butler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.