BRIAN J BROUSSARD (NPI# 1114037314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114037314 |
| Entity Type | Individual |
| Full Name | BRIAN J BROUSSARD |
| Credential | CRNA |
| Practice Address |
4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 |
| Mailing Address |
Po Box 53864 Lafayette LA 70505-3864 |
| Practice Telephone | 3374702966 |
| Practice Fax Number | 3374702776 |
| Mailing Telephone | 3372892966 |
| Mailing Fax Number | 3372892776 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 04020 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1122581 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750809448 | Brian Paul Broussard | Physical Therapist | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 | 2017-09-02 |
| Street Address |
4801 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437438 | Natalie Breaux Blanchard | Nurse Practitioner | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2005-06-15 |
| 1235744566 | Wound Integrity Louisiana Pmc | Family Medicine | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2020-09-14 |
| 1487285516 | Emily Nicole Sudduth | Anesthesiology | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2020-01-28 |
| 1811555121 | James Matthew Miller | Nurse Practitioner | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2019-06-01 |
| 1710541933 | Morgan Ducote Alpha | Nurse Practitioner | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2019-04-23 |
| 1801319397 | Chelbie Bell Harris | Occupational Therapist | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2017-07-17 |
| 1205372364 | Kathryn Collins | Nurse Anesthetist, Certified Registered | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2017-01-13 |
| 1962959080 | Penelope Levie | Nurse Practitioner | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2016-09-07 |
| 1144684077 | Rachel Kumar | Hospitalist | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2016-04-06 |
| 1104290295 | Amy Green | Nurse Practitioner | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2015-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619408192 | Vannasinh Panyanouvong | Nurse Anesthetist, Certified Registered | 107 Young Oak Dr, Lafayette, LA 70507-3205 | 2017-03-25 |
| 1427473230 | Mary Alden Fontenot | Nurse Anesthetist, Certified Registered | 1103 Kaliste Saloom Rd., Suite 304, Lafayette, LA 70508 | 2014-03-03 |
| 1134369374 | Trish Howell Guillot | Nurse Anesthetist, Certified Registered | 112 Cherry Bark Ln, Lafayette, LA 70508-8146 | 2009-02-28 |
| 1487806519 | Belinda Katherine Russo | Nurse Anesthetist, Certified Registered | 118 Karolwood Dr, Lafayette, LA 70503-3505 | 2008-10-21 |
| 1972644979 | Rex Lee Meeker | Nurse Anesthetist, Certified Registered | 11375 Jasper Rd, Lafayette, CO 80026-9627 | 2007-02-11 |
| 1710909445 | August J Rantz IIi | Nurse Anesthetist, Certified Registered | 1101 S College, Ste 100, Lafayette, LA 70503 | 2006-07-24 |
| 1861429540 | Patricia J. Farkas | Nurse Anesthetist, Certified Registered | 309 Asbury Rd, Lafayette, LA 70503-3637 | 2006-06-27 |
| 1750332391 | Jeremy Joseph Boyer | Nurse Anesthetist, Certified Registered | 305 Ambergris Ln, Lafayette, LA 70508-8152 | 2006-05-15 |
| 1427014331 | Stephanie Lynn Preston | Nurse Anesthetist, Certified Registered | 811 S 9th St, Lafayette, IN 47905-5545 | 2006-04-21 |
| 1780655274 | James M Reynolds | Nurse Anesthetist, Certified Registered | 4630 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6949 | 2006-01-31 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.