DR. JOHN BROUSSARD (NPI# 1326509977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326509977 |
| Entity Type | Individual |
| Full Name | DR. JOHN BROUSSARD |
| Credential | MD |
| Practice Address |
1430 Tulane Ave # 8679 New Orleans LA 70112-2632 |
| Practice Telephone | 5049882436 |
| Practice Fax Number | 5049882799 |
| Mailing Telephone | 5049882436 |
| Mailing Fax Number | 5049882799 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013271196 | John Robert Broussard | Counselor | 2711 Edgewood Dr, Placerville, CA 95667-3409 | 2012-07-03 |
| 1174839161 | John Broussard | Family Medicine | 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701-3480 | 2010-08-27 |
| 1750696639 | John Edward Broussard | Pharmacist | 105 Cities Service Hwy, Sulphur, LA 70663-5419 | 2010-08-16 |
| 1033645494 | John Joseph Broussard | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2017-05-04 |
| 1063648889 | John Broussard | Physical Therapist | 620 N Morrison Blvd Ste G, Hammond, LA 70401-2312 | 2009-06-08 |
| 1548462898 | John Broussard | Physical Therapist | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2007-05-31 |
| 1992844476 | John King Broussard | Psychologist | 1600 Airport Fwy, Suite 322, Bedford, TX 76022-6850 | 2007-02-05 |
| Street Address |
1430 TULANE AVE # 8679 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316478928 | Estelle Oertling | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8679, New Orleans, LA 70112-2632 | 2017-03-24 |
| 1639707805 | Younes Aljohmani | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8679, New Orleans, LA 70112-2632 | 2020-04-01 |
| 1952864761 | Yousif Al Rubaye | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8679, New Orleans, LA 70112-2632 | 2019-04-09 |
| 1932660743 | Dana Perez | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8679, New Orleans, LA 70112-2632 | 2019-03-26 |
| 1386177426 | Jonathan Shih | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8679, New Orleans, LA 70112-2632 | 2017-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553514 | Tranekka Randle | Student in an Organized Health Care Education/Training Program | 1919 W Homestead Dr, New Orleans, LA 70114-3388 | 2020-09-22 |
| 1730791849 | Brady Radosti | Student in an Organized Health Care Education/Training Program | 8124 Spruce St # B, New Orleans, LA 70118-2931 | 2020-08-19 |
| 1316558133 | Amy Bienvenu | Student in an Organized Health Care Education/Training Program | 810 Voisin St, New Orleans, LA 70124-1758 | 2020-08-14 |
| 1073124889 | Rhett James Rogers | Student in an Organized Health Care Education/Training Program | 3631 Tall Timbers Dr, New Orleans, LA 70131-8329 | 2020-08-14 |
| 1366053662 | Jennifer Abbrecht | Student in an Organized Health Care Education/Training Program | 4317 S Galvez St, New Orleans, LA 70125-4525 | 2020-08-11 |
| 1568073914 | Kevin Sean Olson | Student in an Organized Health Care Education/Training Program | 4235 Ulloa St, New Orleans, LA 70119-6745 | 2020-08-10 |
| 1730799305 | Chad Mazoue | Student in an Organized Health Care Education/Training Program | 5923 Colbert St, New Orleans, LA 70124-2910 | 2020-08-07 |
| 1821608407 | Jebin Samuel | Student in an Organized Health Care Education/Training Program | 930 Poydras St Apt 2019, New Orleans, LA 70112-2045 | 2020-08-07 |
| 1588274211 | Alexandra B Musso | Student in an Organized Health Care Education/Training Program | 5122 Chestnut St, New Orleans, LA 70115-2946 | 2020-08-06 |
| 1992313092 | Suhalika Synghal Sahni | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave Rm 6547, New Orleans, LA 70112-2632 | 2020-07-15 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
Please comment or provide details below to improve the information on DR. JOHN BROUSSARD.
| 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.