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

JUDD TANNER BROUSSARD CRNA
NPI 1073612693
Nurse Anesthetist, Certified Registered in Lafayette, LA

Q: What is Judd Broussard's NPI number?

The NPI number for Judd Broussard is 1073612693. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Judd Broussard's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Judd Broussard was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.

Active since September 21, 2006

1103 KALISTE SALOOM RD, SUITE 304, LAFAYETTE, LA 70508(337) 988-5646(337) 988-4298 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Judd Tanner Broussard Crna NPPES

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

JUDD TANNER BROUSSARD CRNA (NPI 1073612693) is an individual nurse anesthetist, certified registered in Lafayette, Louisiana, licensed in Louisiana (AP04874) and active in the NPI registry since September 2006. He is affiliated with Our Lady Of Lourdes Regional Medical Center, Inc, maintains a secondary practice location in Lafayette, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1073612693

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJUDD TANNER BROUSSARDCredential: CRNA

Location Address1103 KALISTE SALOOM RD, SUITE 304Lafayette, LA 70508-5783

Mailing Address1103 Kaliste Saloom Rd Ste 304Lafayette, LA 70508-5784 · (337) 988-5646 · Fax (337) 988-4298

Phone(337) 988-5646

Fax(337) 988-4298

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJuly 15, 2026

NPPES CertifiedJuly 15, 2026

✔ NPI 1073612693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in LA · AP04874

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1103 KALISTE SALOOM RD, Lafayette, LA 70508

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Secondary Practice Location 1

Location 14801 Ambassador Caffery PkwyLafayette, LA 70508-6917 · Phone (337) 470-2574 · Fax (337) 470-2605

Other Identifiers 1

Medicaid1581160LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Judd Tanner Broussard Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850308222

PECOS Enrollment IDI20060309000144

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

37 services37 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

25 services25 patients

Anesthesia for other procedure on urinary system through urethra 00910

Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190102

Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

CHARLES L. PAPADAKES CRNA

Nurse Anesthetist, Certified Registered

1103 KALISTE SALOOM RD, SUITE 304
LAFAYETTE, LA 70508

Lafayette Parish (337) 988-5646

KEVIN KATHLEEN M MENARD PA

Physician Assistant

1103 KALISTE SALOOM RD
LAFAYETTE, LA 70508

Lafayette Parish (337) 234-5234

STEVEN K STAIRES MD

Anesthesiology (Pain Medicine)

1103 KALISTE SALOOM RD, SUITE 208
LAFAYETTE, LA 70508

Lafayette Parish (337) 234-3757

DIANA FERNANDEZ, M.D. L.L.C.

Psychiatry & Neurology (Neurology)

1103 KALISTE SALOOM RD, SUITE 206
LAFAYETTE, LA 70508

Lafayette Parish (337) 984-5911

MR. JUDE L GUILLORY CRNA

Nurse Anesthetist, Certified Registered

1103 KALISTE SALOOM RD, SUITE 304
LAFAYETTE, LA 70508

Lafayette Parish (337) 988-5646

DAVID SCOTT MULDOWNY M.D.

Orthopaedic Surgery

1103 KALISTE SALOOM RD, SUITE 102
LAFAYETTE, LA 70508

Lafayette Parish (337) 234-5234

EARRAINA REA KING PHARMD

Pharmacist

1103 KALISTE SALOOM RD
LAFAYETTE, LA 70508

Lafayette Parish (337) 988-4824

DR. AMARENDAR KASARLA MD

Anesthesiology

1103 KALISTE SALOOM RD, SUITE 304
LAFAYETTE, LA 70508

Lafayette Parish (337) 988-5646

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 Judd Broussard's NPI number?

The NPI number for Judd Broussard is 1073612693. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Judd Broussard located?

Judd Broussard practices at 1103 Kaliste Saloom Rd Suite 304, Lafayette, LA 70508. The listed phone number is (337) 988-5646.

What is Judd Broussard's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Judd Broussard enrolled in Medicare?

Yes. Judd Broussard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Judd Broussard accept?

Health plans from HMO Louisiana list Judd Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Judd Broussard affiliated with any hospitals?

According to CMS data, Judd Broussard is affiliated with Our Lady Of Lourdes Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Judd Broussard was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.