Thad Stephens Broussard in Baton Rouge - Neuromusculoskeletal Medicine, Sports Medicine
Thad Stephens Broussard - NPI 1396743506
Thad Stephens Broussard is a Neuromusculoskeletal Medicine, Sports Medicine in Baton Rouge, Louisiana. Thad Stephens Broussard practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Thad Stephens Broussard is 1396743506. The last update date is 2008-03-14.
Thad Stephens Broussard's current location address is 8037 Picardy Ave, Baton Rouge, Louisiana. You can contact this provider via phone number 2257673680 and fax number 2257675578. The mailing address for Thad Stephens Broussard is 8037 Picardy Ave, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thad Stephens Broussard |
|---|---|
| Address | 8037 Picardy Ave, Baton Rouge, Louisiana |
| Phone Number | 2257673680 |
| Fax Number | 2257675578 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396743506 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2008-03-14 |
Provider Mailing Address Detail
| Address | 8037 Picardy Ave |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708093538 |
| Phone Number | 2257673680 |
| Fax Number | 2257675578 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | 14869 |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1340901 | LA | -- | |
| 2695399 | LA | CIGNA | |
| 690092 | LA | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Thad Stephens Broussard by the Centers for Medicare & Medicaid Services?
The Thad Stephens Broussard has been assigned the NPI (National Provider Identifier) 1396743506. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Thad Stephens Broussard?
The Thad Stephens Broussard is physically situated at 8037 Picardy Ave, in the city of Baton Rouge, state of LA, with the postal code 708093538.
What is Thad Stephens Broussard's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Thad Stephens Broussard is Neuromusculoskeletal Medicine, Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 204C00000X.
When was the Thad Stephens Broussard's 1396743506 issued?
The Thad Stephens Broussard's 1396743506 was issued on 2005-07-12.
As of what date was the information pertaining to Thad Stephens Broussard, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Thad Stephens Broussard, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-14.
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