Gerald B Broussard JR. MD

  • NPI 1104117688
According to our database, the NPI number for Gerald B Broussard JR. MD is 1104117688 and activated since 13 years ago. Gerald B Broussard JR. MD is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 6051 U S Highway 49, Hattiesburg, MS 39401. You can also contact Gerald B Broussard JR. MD via telephone number is (800) 494-8260. Provider NPI information was last updated on 07/28/2017.

Recently Active NPIs

Overview of Gerald B Broussard JR. MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/02/2011
  • Last updated: 07/28/2017

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 5000 W 4th St
    Hattiesburg, MS 39402
  • Phone: (800) 494-8260
  • Fax:

Provider Practice Location

  • Address: 6051 U S Highway 49
    Hattiesburg, MS 39401
  • Phone: 800-494-8260
  • Fax: 859-368-0437

Scope of Practice

  • Taxonomy Code: 207RA0401X
  • Specialty: Addiction Medicine
  • License Number: R2826
  • License State: KY
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 07124262
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Gerald B Broussard JR. MD?
  • A: The npi number for Gerald B Broussard JR. MD is 1104117688.
  • Q: What are Gerald B Broussard JR. MD's specialties?
  • A: Gerald B Broussard JR. MD's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Gerald B Broussard JR. MD?
  • A: The medical license number for Gerald B Broussard JR. MD is unknow and issued in unknow in USA.
  • Q: Where is Gerald B Broussard JR. MD practice location?
  • A: Gerald B Broussard JR. MD is practicing at 6051 U S Highway 49, Hattiesburg, MS 39401.
  • Q: How to contact Gerald B Broussard JR. MD?
  • A: You can contact Gerald B Broussard JR. MD via 800-494-8260.
Medicare Specialty
View all Specialties
Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.