Jerome Michael Broussard in Lafayette - Obstetrics & Gynecology
Jerome Michael Broussard - NPI 1699775783
Jerome Michael Broussard is a Obstetrics & Gynecology in Lafayette, Louisiana. Jerome Michael Broussard practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Jerome Michael Broussard is 1699775783. The last update date is 2023-11-11.
Jerome Michael Broussard's current location address is 4640 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can contact this provider via phone number 3379841050 and fax number 3379848776. The mailing address for Jerome Michael Broussard is 4640 Ambassador Caffery Pkwy, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Michael Broussard |
|---|---|
| Address | 4640 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Phone Number | 3379841050 |
| Fax Number | 3379848776 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699775783 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2023-11-11 |
Provider Mailing Address Detail
| Address | 4640 Ambassador Caffery Pkwy |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705086902 |
| Phone Number | 3379841050 |
| Fax Number | 3379848776 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 14713 |
|
Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1322661 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jerome Michael Broussard by the Centers for Medicare & Medicaid Services?
The Jerome Michael Broussard has been issued the NPI (National Provider Identifier) 1699775783. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jerome Michael Broussard?
The Jerome Michael Broussard is situated at 4640 Ambassador Caffery Pkwy, in the city of Lafayette, state of LA, with the zip code 705086902.
What is the Jerome Michael Broussard's specialty and taxonomy code?
The Jerome Michael Broussard's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.
When was the Jerome Michael Broussard's 1699775783 issued?
The Jerome Michael Broussard's 1699775783 was issued on 2005-07-29.
When was the information regarding Jerome Michael Broussard most recently updated?
The details pertaining to the Jerome Michael Broussard, including its address, specialty, and other relevant information, were last refreshed on 2023-11-11.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY