Blaine M Broussard (NPI# 1023251659, PAC ID# 8921249459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1023251659 |
| PAC ID by PECOS | 8921249459 |
| Professional Enrollment ID | I20130726000093 |
| Full Name | Blaine M Broussard |
| Organization Legal Name | FREEDMAN CLINIC OF INTERNAL MEDICINE LLP |
| Address |
1337 Centre Ct Alexandria LA 71301-3405 |
| Phone Number | 3184459331 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 0345145447 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190019 | CHRISTUS ST FRANCES CABRINI HOSPITAL |
| 190026 | RAPIDES REGIONAL MEDICAL CENTER |
| 190298 | CENTRAL LOUISIANA SURGICAL HOSPITAL |
| 190164 | BYRD REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1337 Centre Ct, Alexandria, LA 71301-3405 | 3184459331 | FREEDMAN CLINIC OF INTERNAL MEDICINE LLP |
| Organization Legal Name | FREEDMAN CLINIC OF INTERNAL MEDICINE LLP |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zack Terry Buckalew Iii | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Kaitlin D Miller | Nurse Practitioner | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Daniel Renois | Family Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Ernesto J Garcia-ramos | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Jose Garcia-ramirez | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Shane M Garon | Family Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Kendall From Jr. | Nephrology | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Harishwar H Agarwal | Gastroenterology | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Aaron D Mclemore | Infectious Disease | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Roberto Jose Garcia | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Street Address |
1337 CENTRE CT |
| City | ALEXANDRIA |
| State | LA |
| Zip | 71301-3405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zack Terry Buckalew Iii | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Kaitlin D Miller | Nurse Practitioner | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Daniel Renois | Family Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Ernesto J Garcia-ramos | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Jose Garcia-ramirez | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Shane M Garon | Family Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Kendall From Jr. | Nephrology | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Harishwar H Agarwal | Gastroenterology | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Aaron D Mclemore | Infectious Disease | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Roberto Jose Garcia | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravinderjit S Brar | Internal Medicine | Rapides Regional Physician Group Primary Care, LLC | 3425 N Blvd, Alexandria, LA 71301 |
| David J Guillot | Family Medicine | 6410 Masonic Dr, Alexandria, LA 71301-2319 | |
| Elizabeth S Taylor | Psychiatry | Compass Rehab, LLC | 6410 Masonic Dr, Alexandria, LA 71301-2319 |
| Vincent A Escandell | Psychologist, Clinical | 6016 Navaho Trail, Alexandria, LA 71301-2735 | |
| Roy R Strickland | Chiropractic | 2385 S Macarthur Dr, Suite A, Alexandria, LA 71301-3062 | |
| Hong Y Liu | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Bridgett D Foreman | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Robert C Morrison | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Robert E Bush Ii | Nurse Practitioner | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Ashley R Lammons | Qualified Audiologist | 1408 Metro Dr, Alexandria, LA 71301-3424 | |
| Find all physicians in zip 71301 | |||
| City | ALEXANDRIA |
| Zip Code | 71301 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ALEXANDRIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Blaine M Broussard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.