Individual provider Active NPI

James V Broussard, MD

  • Otolaryngology Physician
  • Thibodaux, LA
National Provider Identifier
1760581706
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
018177 Issued in LA
Practice address
604 N. Acadia Rd Ste 101
Thibodaux, LA 70301-4897
Phone
(985) 446-5079
Fax
(985) 447-2497
NPI assigned
Sep 22, 2006
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 018177 LA Primary

Addresses

Primary practice location

604 N. Acadia Rd Ste 101
Thibodaux, LA 70301-4897

Mailing address

604 North Acadia Ste 101
Thibodaux, LA 70301-4897
Phone (985) 446-5079

Other identifiers 1

IdentifierTypeStateIssuer
1370258MedicaidLA

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
I20101209000708 LA Practitioner - Otolaryngology 9931202496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Ear, Nose, and Throat Specialists, Inc.Group PAC ID 0042313504, 65 clinicians

Practice addresses (Care Compare)

1231 Kenneth St
Morgan City, LA 70380-1353
Phone (985) 446-5079

5040 W Main St
Houma, LA 70360-4900
Phone (985) 446-5079

604 N Acadia Rd
Suite 101
Thibodaux, LA 70301-4897
Phone 9854465079110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Ear, Nose, & Throat Specialists, Inc. Otolaryngology CurrentSince Apr 1, 1992 Accepting new patients
Lsuhn Billing LLC Past Accepting new patients

Locations

5040 W Main St
Ste 2
Houma, LA 70360
Phone (985) 446-5079

1231 Kenneth St
Morgan City, LA 70380
Phone (985) 384-9440

604 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 448-3700

604 N Acadia Rd
Ste 101
Thibodaux, LA 70301
Phone (985) 446-5079

Interoperability endpoints

  • Direct secure messaging: jbroussard158469@direct.ochsner.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1760581706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 NORTH ACADIA STE 101",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-446-5079",
            "fax_number": "985-447-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N. ACADIA RD STE 101",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-446-5079",
            "fax_number": "985-447-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "JAMES",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "018177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1370258",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.