WILFRED BROUSSARD (NPI# 1922040153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922040153 |
| Entity Type | Individual |
| Full Name | WILFRED BROUSSARD |
| Credential | P.AP |
| Practice Address |
1115 Weber St Franklin LA 70538-4124 |
| Practice Telephone | 3378282550 |
| Practice Fax Number | 3373552335 |
| Mailing Telephone | 3378282550 |
| Mailing Fax Number | 3378285411 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | A10127 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1624888 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104077890 | Wilfred Broussard Jr. | Pharmacist | 801 Legacy Dr Apt 2311, Plano, TX 75023-2228 | 2008-10-01 |
| Street Address |
1115 WEBER ST |
| City | FRANKLIN |
| State | LA |
| Zip Code | 70538-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303240 | Chakshu Gautam | Family Medicine | 1115 Weber St, Teche Action Clinic, Franklin, LA 70538-4124 | 2005-06-01 |
| 1326655952 | Brian Gregory Serio | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2020-09-28 |
| 1346873403 | Alexis Bourgeois | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2020-02-18 |
| 1396226767 | Carolyn Higdon | Counselor | 1115 Weber St, Franklin, LA 70538-4124 | 2018-08-23 |
| 1033627906 | Emily Geesling Bergeron | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538 | 2018-01-13 |
| 1801314315 | Eden Desiree Etcheverria | Physician Assistant | 1115 Weber St, Franklin, LA 70538-4124 | 2017-09-05 |
| 1245760800 | Shayla Lux Autrey | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2017-06-15 |
| 1003354929 | Jamila Mckinnis Riley | Dentist | 1115 Weber St, Franklin, LA 70538 | 2017-02-11 |
| 1790140549 | Crystal Hill | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2015-12-21 |
| 1942608997 | Tangela Denise Robertson | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2014-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154790327 | Bogalusa Rehabilitation Hospital LLC | Rehabilitation Hospital | 604 Palfrey Street, Franklin, LA 70538 | 2015-09-17 |
| 1720325855 | Thomas Frere Kramer | Obstetrics & Gynecology | 4484 Irish Bend Rd., Franklin, LA 70538 | 2013-01-09 |
| 1073797098 | Jaba Enterprises Inc | Home Health | 1101 Northwest Blvd, Franklin, LA 70538 | 2007-12-27 |
| 1578784195 | Jeffrey Neil Jordan | Clinic/Center | 1600 Hospital Avenue, Franklin, LA 70538 | 2007-05-01 |
| 1508948852 | Kira P Ridgley | Physician Assistant | 1105 Northwest Blvd., Franklin, LA 70538 | 2006-10-19 |
| 1871602581 | John Neal Boudreaux | Dentist | 600 Haifleigh St, Franklin, LA 70538 | 2006-08-29 |
| 1891273850 | Demetra Smith | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-08-01 |
| 1497244891 | Ashley Burkhart | Counselor | 75 Main St, Franklin, LA 70538 | 2018-05-02 |
| 1710474036 | Fallon Hoskins-august | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-04-23 |
| 1275035032 | Earolyn Ann Choate | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-03-07 |
| Find all providers in zip 70538 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1265048268 | Olivia Meers | Physician Assistant | 1080 Cedarview Ln, Franklin, TN 37067-4068 | 2020-09-16 |
| 1467064220 | Jonathan Efrem Selwitz | Physician Assistant | 19 Anchorage Rd, Franklin, MA 02038-1551 | 2020-08-21 |
| 1578184669 | Megan Marie Krachkowski | Physician Assistant | 6885 Us 322 Ste 3, Franklin, PA 16323-8000 | 2020-04-30 |
| 1679106124 | Kayla Weber | Physician Assistant | 6557 S Whitnall Edge Rd, Franklin, WI 53132-1286 | 2020-02-12 |
| 1063042075 | Emma Davidman | Physician Assistant | 155 Covey Dr Ste 200, Franklin, TN 37067-6008 | 2020-01-17 |
| 1306484522 | Peyton Edward Mitchell | Physician Assistant | 3310 Aspen Grove Dr Ste 102, Franklin, TN 37067-2841 | 2019-12-18 |
| 1235617614 | Kaitlyn Nicole Crites | Physician Assistant | 82 Pine Street, Franklin, WV 26807 | 2018-07-30 |
| 1659876324 | Joanna Lucy Nyland | Physician Assistant | 131 Reliance Dr, Franklin, TN 37067-1734 | 2018-03-26 |
| 1447607312 | Matthew Young | Physician Assistant | 155 Covey Dr Ste 100, Franklin, TN 37067-6007 | 2016-05-19 |
| Find all providers in FRANKLIN | ||||
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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.