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Dr. Thad Stephens Broussard

Sports Medicine Doctor

8037 Picardy Ave
Baton Rouge , Louisiana 70809-3538

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Image

Dr. Thad Stephens Broussard

Sports Medicine Doctor

8037 Picardy Ave
Baton Rouge , Louisiana 70809-3538

(225) 767-5578

Write a Review Save Call

Dr. Thad Stephens Broussard

Sports Medicine Doctor

8037 Picardy Ave
Baton Rouge , Louisiana 70809-3538

(225) 767-5578 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine Doctor

Languages spoken

  • English

Location

8037 Picardy Ave Baton Rouge , Louisiana 70809-3538

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

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FAQs


Where did Dr. Thad Stephens Broussard attend graduate school?

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Where did Dr. Thad Stephens Broussard do his residency?

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Where did Dr. Thad Stephens Broussard do his fellowship?

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Is Dr. Thad Stephens Broussard board certified?

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What type of doctor is Dr. Thad Stephens Broussard

Sports Medicine Doctor

In what state does Dr. Thad Stephens Broussard practice in?

Louisiana

Where is Dr. Thad Stephens Broussard ’s practice located?

8037 Picardy Ave , Baton Rouge, Louisiana, 70809-3538

What is Dr. Thad Stephens Broussard ’s gender?

Male

Is Dr. Thad Stephens Broussard a sole practitioner?

No

Is Dr. Thad Stephens Broussard accepting new patients?

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What languages does Dr. Thad Stephens Broussard speak?

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Does Dr. Thad Stephens Broussard accept insurance?

Yes, Dr. Thad Stephens Broussard accepts insurance

Does Dr. Thad Stephens Broussard offers telemedicine?

Dr. Thad Stephens Broussard has not indicated if he offers telemedicine

What is Dr. Thad Stephens Broussard ’s professional license number?

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What is Dr. Thad Stephens Broussard ’s NPI number?

1396743506

Does Dr. Thad Stephens Broussard have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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