Dr. Thad Stephens Broussard
Sports Medicine Doctor
8037 Picardy Ave
Baton Rouge
, Louisiana 70809-3538
Dr. Thad Stephens Broussard
Sports Medicine Doctor
8037 Picardy Ave
Baton Rouge
, Louisiana 70809-3538
(225) 767-5578
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Thad Stephens Broussard
- 8037 Picardy Ave
- Baton Rouge, LA
- Zip : 70809-3538
- Fax : (225) 767-5578
- Phone : (225) 767-3680
Second Address
- Dr. Thad Stephens Broussard
- 8037 Picardy Ave
- Baton Rouge, LA
- Zip : 70809-3538
- Fax : (225) 767-5578
- Phone : (225) 767-3680
Reviews
FAQs
Where did Dr. Thad Stephens Broussard attend graduate school?
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What type of doctor is Dr. Thad Stephens Broussard
In what state does Dr. Thad Stephens Broussard practice in?
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What is Dr. Thad Stephens Broussard ’s gender?
Is Dr. Thad Stephens Broussard a sole practitioner?
Is Dr. Thad Stephens Broussard accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 014869 | LA |
National Provider Identifier
| NPI | 1396743506 |
|---|---|
| Provider Name | Dr. Thad Stephens Broussard |
| First Address | Baton Rouge, LA 70809-3538 |
| Second Address | Baton Rouge, LA 70809-3538 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2005 |
| Last Update Date | 14/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1340901 | (05) | LA |
| 2695399 | CIGNA (01) | LA |
| 690092 | AETNA (01) | LA |
| B61189 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.