Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BRIAN J BROUSSARD CRNA
NPI 1114037314
Nurse Anesthetist, Certified Registered in Lafayette, LA

Q: What is Brian Broussard's NPI number?

The NPI number for Brian Broussard is 1114037314. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Brian 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 Brian Broussard was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2006

4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508(337) 470-2966(337) 470-2776 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Brian J Broussard Crna NPPES

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

BRIAN J BROUSSARD CRNA (NPI 1114037314) is an individual nurse anesthetist, certified registered in Lafayette, Louisiana, licensed in Louisiana (04020) and active in the NPI registry since August 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 (2002).

NPPES Registry Identity

NPI1114037314

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBRIAN J BROUSSARDCredential: CRNA

Location Address4801 AMBASSADOR CAFFERY PKWYLafayette, LA 70508-6917

Mailing AddressPo Box 53864Lafayette, LA 70505-3864 · (337) 289-2966 · Fax (337) 289-2776

Phone(337) 470-2966

Fax(337) 470-2776

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 21, 2026

NPPES CertifiedJuly 21, 2026

✔ NPI 1114037314 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

Licenses✔ Licensed in LA · 04020✔ Licensed in LA · AP04020

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.

4801 AMBASSADOR CAFFERY PKWY, 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

Medicaid1122581LA

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

Brian J 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 ID5698945327

PECOS Enrollment IDI20110907000871

Areas of Expertise CMS Part B claims 6

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.

56 services56 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.

31 services31 patients

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

31 services31 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

12 services12 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.

12 services12 patients

Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance 01942

Anesthesia for nerve modulation or spine repair involves numbing the lower back area. This is done to ensure you don't feel pain during the procedure. The doctor uses imaging technology to accurately place the anesthetic. This makes the procedure safer and more effective.

12 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.

DR. JAMES SIDNEY WADE JR. MD

Surgery