MRS. MARY ELIZABETH BROUSSARD B.A., B.S.
NPI 1386837953
Occupational Therapist in Lafayette, LA
About Mrs. Mary Elizabeth Broussard B.a., B.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY ELIZABETH BROUSSARD B.A., B.S. (NPI 1386837953) is an individual occupational therapist in Lafayette, Louisiana, licensed in Louisiana (Z11181) and active in the NPI registry since August 2007.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Mary Elizabeth Broussard B.a., B.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Broussard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Charles, LA 70601
- Reassigned Medicare billing, Louisiana enrollment
- 77 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
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 Mary Broussard's NPI number?
The NPI number for Mary Broussard is 1386837953. It was assigned to this individual provider in the NPPES registry on August 27, 2007.
Where is Mary Broussard located?
Mary Broussard practices at 107 Briarmeadow Dr, Lafayette, LA 70508. The listed phone number is (337) 857-1331.
What is Mary Broussard's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Mary Broussard enrolled in Medicare?
Yes. Mary Broussard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Broussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Broussard reassigns Medicare benefits to Synergy Care Southeast LLC (Lake Charles, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Broussard was last updated on August 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.