Richard K. Broussard in Lafayette - Gastroenterology
Richard K. Broussard - NPI 1639245798
Richard K. Broussard is a Gastroenterology in Lafayette, Louisiana. Richard K. Broussard practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Richard K. Broussard is 1639245798. The last update date is 2015-08-06.
Richard K. Broussard's current location address is 439 Heymann Blvd, Lafayette, Louisiana. You can contact this provider via phone number 3372690963 and fax number 3372690553. The mailing address for Richard K. Broussard is 439 Heymann Blvd, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard K. Broussard |
|---|---|
| Address | 439 Heymann Blvd, Lafayette, Louisiana |
| Phone Number | 3372690963 |
| Fax Number | 3372690553 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639245798 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2015-08-06 |
Provider Mailing Address Detail
| Address | 439 Heymann Blvd |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705032616 |
| Phone Number | 3372690963 |
| Fax Number | 3372690553 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 18918 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1957356 | LA | -- | |
| 100005170 | LA | RAIL ROAD MEDICARE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Richard K. Broussard by the Centers for Medicare & Medicaid Services?
The Richard K. Broussard has been assigned the NPI (National Provider Identifier) 1639245798. 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 share the complete physical address where Richard K. Broussard is geographically located?
The Richard K. Broussard is physically situated at the following location: 439 Heymann Blvd, Lafayette, LA, 705032616.
What is the Richard K. Broussard's specialty and taxonomy code?
The Richard K. Broussard's specialty is Gastroenterology, and the corresponding taxonomy code is 207Rg0100X.
On what date did the Richard K. Broussard receive its 1639245798 assignment from the Centers for Medicare & Medicaid Services?
The Richard K. Broussard was assigned its 1639245798 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date was the information pertaining to Richard K. Broussard, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard K. Broussard, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-08-06.