Gerald B Broussard Sr. (NPI# 1073511903, PAC ID# 9638074776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1073511903 |
| PAC ID by PECOS | 9638074776 |
| Professional Enrollment ID | I20110112000149 |
| Full Name | Gerald B Broussard Sr. |
| Address |
1250 Pecanland Rd Suite 1 Monroe LA 71203-7011 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190125 | ST FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1250 Pecanland Rd, Suite 1, Monroe, LA 71203-7011 |
| Street Address |
1250 PECANLAND RD SUITE 1 |
| City | MONROE |
| State | LA |
| Zip | 71203-7011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Desadier | Nurse Practitioner | Integrated Care Professionals of Lousiana, LLC | 150 Venable Ln, Suite 200, Monroe, LA 71203-2028 |
| Pamela Curry | Nurse Practitioner | Integrated Care Professionals of Lousiana, LLC | 150 Venable Ln, Suite 200, Monroe, LA 71203-2028 |
| Geralyn Perez | Nurse Practitioner | Integrated Care Professionals of Lousiana, LLC | 150 Venable Ln, Suite 200, Monroe, LA 71203-2028 |
| David L Barnes | Family Medicine | 3400 Medical Park Dr C, Monroe, LA 71203-2300 | |
| Kerry Anders | Family Medicine | 3400 Medical Park Dr, Suite A, Monroe, LA 71203-2300 | |
| Tina M Smith | Nurse Practitioner | 3408 Medical Park Dr, Monroe, LA 71203-2354 | |
| Rafael B Armstrong | Obstetrics/gynecology | 3408 Medical Park Dr, Monroe, LA 71203-2354 | |
| Brian P Krier | Family Practice | Bayou Md, Lc | 325 Chauvin Pointe Dr, Monroe, LA 71203-2361 |
| Tahir Qayyum | Family Medicine | 3510 Medical Park Dr, Suite 8, Monroe, LA 71203-2363 | |
| Michael P Watson | Family Medicine | 3510 Medical Park Dr, Suite 1, Monroe, LA 71203-2363 | |
| Find all physicians in zip 71203 | |||
| City | MONROE |
| Zip Code | 71203 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MONROE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Gerald B Broussard Sr..
| 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.