Brad Alan Boudreaux, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

201157 Issued in LA

Practice address

3619 Ambassador Caffery Pkwy
BLDG E
Lafayette, LA 70503-5132

Phone

(337) 534-4410

Fax

(337) 534-4426

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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.

• Clark Integrated Medical Clinics LLC

  • General Practice Physician
  • Lafayette, LA
  • NPI 1124529284

  General Practice, LA

  Medicare reassignment Care Compare group NPD
• Emergency Group of St Landry LLC

  • Emergency Medicine Physician
  • Ville Platte, LA
  • NPI 1164491320

  Emergency Medicine, LA

  Medicare reassignment Care Compare group NPD
• Eunice Emergency Group LLC

  • Emergency Medicine Physician
  • Eunice, LA
  • NPI 1104895689

  Emergency Medicine, LA

  Medicare reassignment Care Compare group NPD
• Main Street Emergency Group LLC

  • Emergency Medicine Physician
  • New Iberia, LA
  • NPI 1750796041

  Emergency Medicine, LA

  Medicare reassignment NPD
• Opelousas Emergency Group LLC

  • Emergency Medicine Physician
  • Opelousas, LA
  • NPI 1477522704

  Emergency Medicine, LA

  Medicare reassignment NPD
• Louisiana Brain Injury Specialists, LLC

  • Neurology Physician
  • Lafayette, LA
  • NPI 1912870924
  NPD (past)
• Louisiana Physical Therapy Centers of Pineville LLC

  • Physical Therapist
  • Pineville, LA
  • NPI 1407961865
  NPD (past)

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

• CLHG-Acadian, LLC

  • General Acute Care Hospital
  • Eunice, LA
  • NPI 1396394961

  Hospital

  Care Compare affiliation
• CLHG-Ville Platte LLC

  • General Acute Care Hospital
  • Ville Platte, LA
  • NPI 1407947336

  Hospital

  Care Compare affiliation

Specialty

Emergency Medicine

Education

Louisiana State University School of Medicine in New Orleans, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Integrated Medical Clinics LLC 12 clinicians

Eunice Emergency Group LLC 8 clinicians

Emergency Group of St Landry LLC 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Regional Medical Center Hospital, Ville Platte, LA, CCN 190167
• Acadian Medical Center Hospital, Eunice, LA, CCN 190318

Merit-based Incentive Payment System (MIPS)

Final score

95.49 of 100Reported as group

Quality

91.23

Improvement activities

40

Cost

70.6

Merit-based Incentive Payment System (MIPS)

Final score

91.08 of 100Reported as group

Quality

84.35

Improvement activities

40

Cost

72.56

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2025.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1811076995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 AMBASSADOR CAFFERY PKWY",
            "address_2": "BLDG E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035132",
            "telephone_number": "337-534-4410",
            "fax_number": "337-534-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 AMBASSADOR CAFFERY PKWY",
            "address_2": "BLDG E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035132",
            "telephone_number": "337-534-4410",
            "fax_number": "337-534-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "BRAD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.201157",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "201157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091570",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy M Boudloche, SPEECH THERAPIST
• Alex Marie Boudreaux, AUD
• Amy Boudreaux, M.S.-CCC, SLP
• Ashley Boudreaux, NP
• Blair Boudreaux, SLP
• Brandi Boudreaux, LDN, RD
• Brandon Allen Boudreaux, LMT
• Donna Boudreaux, PH.D.
• Donna P Boudreaux, LOTR
• Doris O. Boudreaux, R.N.

• All providers in Lafayette, LA
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.

Verify at the official NPI Registry.