Individual
GERARD J. BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7301 HENNESSY BLVD STE 103, BATON ROUGE, LA 70808-4794
(225) 765-4286
(225) 765-5976
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-4286
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.09989R
LA
207R00000X
Internal Medicine Physician
09989R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1978523
—
LA
01
—
P00234642
RAILROAD MCARE THRU PEPA
LA
Enumeration date
03/27/2006
Last updated
08/12/2025
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