Jeffrey K. Broussard in Knoxville - Anesthesiology
Jeffrey K. Broussard - NPI 1790776482
Jeffrey K. Broussard is a Anesthesiology in Knoxville, Tennessee. Jeffrey K. Broussard practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Jeffrey K. Broussard is 1790776482. The last update date is 2018-05-18.
Jeffrey K. Broussard's current location address is 501 20th St, Knoxville, Tennessee. You can contact this provider via phone number 8655468040. The mailing address for Jeffrey K. Broussard is 501 20th St, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey K. Broussard |
|---|---|
| Address | 501 20th St, Knoxville, Tennessee |
| Phone Number | 8655468040 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790776482 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2018-05-18 |
Provider Mailing Address Detail
| Address | 501 20th St |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379161809 |
| Phone Number | 8655468040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | 27390 |
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Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100021071 | TN | PHP TENNCARE | |
| 4087786 | TN | BLUECARE | |
| 3806937 | TN | -- | |
| 4087786 | TN | BLUE CROSS | |
| P00154870 | TN | TRAVELERS MEDICARE |
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What is the unique 10-digit identification code issued to Jeffrey K. Broussard by the Centers for Medicare & Medicaid Services?
The Jeffrey K. Broussard has been assigned the NPI (National Provider Identifier) 1790776482 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jeffrey K. Broussard?
The Jeffrey K. Broussard is situated at 501 20Th St, in the city of Knoxville, state of TN, with the zip code 379161809.
What is the Jeffrey K. Broussard's specialty and taxonomy code?
The Jeffrey K. Broussard's specialty is Anesthesiology, and the corresponding taxonomy code is 207L00000X.
When did the Jeffrey K. Broussard receive its 1790776482?
The Jeffrey K. Broussard was issued its 1790776482 on 2005-11-02, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jeffrey K. Broussard most recently updated?
The details pertaining to the Jeffrey K. Broussard, including its address, specialty, and other relevant information, were last refreshed on 2018-05-18.