SHANE T BROUSSARD P.A.
NPI 1164468435
Physician Assistant in Lafayette, LA
About Shane T Broussard P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE T BROUSSARD P.A. (NPI 1164468435) is an individual physician assistant in Lafayette, Louisiana, licensed in Louisiana (A10272) and active in the NPI registry since June 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
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 Shane Broussard's NPI number?
The NPI number for Shane Broussard is 1164468435. It was assigned to this individual provider in the NPPES registry on June 22, 2006.
Where is Shane Broussard located?
Shane Broussard practices at 1103 Kaliste Saloom Road Suite 102, Lafayette, LA 70508. The listed phone number is (337) 234-5234.
What is Shane Broussard's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
When was this NPI record last updated?
The NPPES record for Shane Broussard was last updated on February 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.