DR. JAMES V BROUSSARD (NPI# 1760581706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760581706 |
| Entity Type | Individual |
| Full Name | DR. JAMES V BROUSSARD |
| Credential | MD |
| Practice Address |
604 N. Acadia Rd Ste 101 Thibodaux LA 70301-4897 |
| Mailing Address |
604 North Acadia Ste 101 Thibodaux LA 70301-4897 |
| Practice Telephone | 9854465079 |
| Practice Fax Number | 9854472497 |
| Mailing Telephone | 9854465079 |
| Mailing Fax Number | 9854472497 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 018177 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1370258 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124088414 | James Coty Broussard | Chiropractor | 6755 Phelan Blvd, Suite18, Beaumont, TX 77706-6075 | 2006-03-23 |
| 1306821764 | James Keith Broussard | Physical Therapist | 295 Highland Dr, Many, LA 71449-3717 | 2005-12-08 |
| 1003434267 | James Dale Broussard Jr. | Specialist/Technologist, Other | 7324 Southwest Fwy Ste 1550, Houston, TX 77074-2053 | 2020-07-13 |
| 1447539176 | James Broussard | Student in an Organized Health Care Education/Training Program | 1400 Washington Ave, Social Sciences 399, Albany, NY 12222-0100 | 2011-08-11 |
| 1841441995 | James Brian Broussard | Physician Assistant | 201 4th St, Alexandria, LA 71301-8421 | 2008-10-07 |
| 1760602288 | James R Broussard | Social Worker | 203 West Main Street, Suite 101, New Iberia, LA 70560 | 2007-04-26 |
| Street Address |
604 N. ACADIA RD STE 101 |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982108866 | Southern Ent Associates Inc | Nurse Practitioner | 604 N. Acadia Rd Ste 101, Thibodaux, LA 70301 | 2018-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386743326 | Paul T. Gaudet | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4897 | 2006-09-22 |
| 1083713101 | Southern Ent Associates Inc | Otolaryngology | 604 N Acadia Rd Ste 101, Thibodaux, LA 70301-4847 | 2006-09-22 |
| 1356319669 | Patrick C Hagen | Otolaryngology | 2000 Audubon Ave, Suite C, Thibodaux, LA 70301-5074 | 2006-03-11 |
| 1396261491 | Mary Elizabeth Crigler | Otolaryngology | 604 N Acadia Rd Ste 101, Thibodaux, LA 70301-4897 | 2017-08-21 |
| 1700131950 | Nicholas Charles Sorrel | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4897 | 2012-07-13 |
| 1750573994 | Jacques Ernest Gaudet | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4897 | 2007-08-13 |
| 1245448224 | Justin Michael Tenney | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4897 | 2007-05-21 |
| 1871630236 | Patrick C Hagen Ear, Nose, Throat & Sinus Clinic | Otolaryngology | 2000 Audubon Ave, Suite C, Thibodaux, LA 70301-5075 | 2007-02-01 |
| 1689773632 | Michael R Robichaux Sr. | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4897 | 2006-09-22 |
| 1255430211 | Guy P Zeringue IIi | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4847 | 2006-09-22 |
| Find all providers in THIBODAUX | ||||
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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.