ANDRE PAUL BROUSSARD


Address: 1501 Kings Hwy, Shreveport, LA 71103-4228
Phone: 3186755053

ANDRE PAUL BROUSSARD (NPI# 1407147291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407147291
Entity Type Individual
Full Name ANDRE PAUL BROUSSARD
Credential MD
Practice Address 1501 Kings Hwy
Shreveport
LA 71103-4228
Mailing Address 120 Rue Louis Xiv
Lafayette
LA 70508-5739
Practice Telephone 3186755053
Mailing Telephone 3377697779
Enumeration Date 2011-04-27
Last Update Date 2016-05-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 300911 LA Allopathic & Osteopathic Physicians

Other Providers ANDRE BROUSSARD

NPI Name Taxonomy Address Enumeration
1710069695 Andre Edmond Broussard Pediatrics 1901 First Ave, 523, New York, NY 10029 2006-10-19
1427083260 Andre Broussard Chiropractor 6701 Aberdeen Ave, Suite 7, Lubbock, TX 79424-1519 2006-07-11

Office Location

Street Address 1501 KINGS HWY
City SHREVEPORT
State LA
Zip Code 71103-4228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801890769 F Dean Griffen Surgery 1501 Kings Hwy, Shreveport, LA 71103-4228 2005-06-09
1336747625 Lana Nasief Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-09
1558968834 Dinesh Regalla Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-08
1588261283 Divleen Sidhu Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-06
1023624517 Grace Hoffman Pharmacist 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-20
1194330761 Yousef Hasan Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-10
1790399277 Ricardo Murguia Fuentes Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-02
1013521509 Tahir Ahmad Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-02
1376155309 Ayesha Malik Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-08-20
1104438324 Elleny Gutierrez Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103 2020-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205208402 Raymond Wendell Turner Urology 9854 Jennifer Ln, Shreveport, LA 71106-7716 2015-10-27
1427076777 Donald Alan Elmajian Urology 8001 Youree Dr Ste 350, Shreveport, LA 71115-2326 2006-07-17
1164427621 Ralph Jonathan Henderson Urology 255 Bert Kouns, Shreveport, LA 71106 2005-06-20
1902801467 James Robert Noble Urology 255 Bert Kouns Loop, Shreveport, LA 71106-8150 2005-06-20
1013374222 Lsu Health Sciences Center Shreveport Faculty Group Practice Urology 1541 Kings Hwy, Shreveport, LA 71103-4228 2016-01-19
1992194500 Wk Urologic Cancer Care Urology 8001 Youree Dr, Suite 350, Shreveport, LA 71115-2302 2015-01-20
1801137906 Wkp Arklatex Urology Clinic Urology 8001 Youree Dr, Suite 580, Shreveport, LA 71115-2302 2013-03-14
1164776290 Wk Urology At Pierremont Urology 8001 Youree Dr, Suite 550, Shreveport, LA 71115-2302 2012-10-26
1417265851 Brian Confrey Mazzarella Urology 255 Bert Kouns, Shreveport, LA 71106-8150 2010-09-20
1861717662 Christopher Anthony Cefalu Urology 255 Bert Kouns, Shreveport, LA 71106-8150 2010-04-05
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

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.

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