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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RANDALL PAUL BROUSSARD II
NPI 1023500071
Case Manager/Care Coordinator in Lake Charles, LA

Active since June 05, 2018
425 KINGSLEY ST, LAKE CHARLES, LA 70601(337) 439-5861(337) 436-8713 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Randall Paul Broussard Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL PAUL BROUSSARD II (NPI 1023500071) is an individual case manager/care coordinator provider in Lake Charles, Louisiana and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1023500071
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameRANDALL PAUL BROUSSARD II
Location Address425 KINGSLEY STLake Charles, LA 70601-3533
Mailing Address425 Kingsley StLake Charles, LA 70601-3533 · (337) 439-5861 · Fax (337) 436-8713
Phone(337) 439-5861
Fax(337) 436-8713
Sole ProprietorNo
Enumeration DateJune 5, 2018
Last NPPES UpdateSeptember 14, 2026
NPPES CertifiedSeptember 14, 2026
✔ NPI 1023500071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
425 KINGSLEY ST, Lake Charles, LA 70601
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LASHARN GUILLORY-KING
Case Manager/Care Coordinator
425 KINGSLEY ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 439-5861
SOUTHWEST LOUISIANA AIDS COUNCIL
Clinic/Center (Federally Qualified Health Center (FQHC))
425 KINGSLEY ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 439-5861
SH'KIRA GUY
Case Manager/Care Coordinator
425 KINGSLEY ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 439-5861
MRS. BARBARA RANEY DARTEZ
Case Manager/Care Coordinator
425 KINGSLEY ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 439-5861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Broussard's NPI number?

The NPI number for Randall Broussard is 1023500071. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Randall Broussard located?

Randall Broussard practices at 425 Kingsley St, Lake Charles, LA 70601. The listed phone number is (337) 439-5861.

What is Randall Broussard's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Randall Broussard was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.