DR. THAD STEPHENS BROUSSARD M.D.
NPI 1396743506
Neuromusculoskeletal Medicine, Sports Medicine in Baton Rouge, LA

Q: What is Thad Broussard's NPI number?

The NPI number for Thad Broussard is 1396743506. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Thad Broussard's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Q: When was this NPI record last updated?

The NPPES record for Thad Broussard was last updated on March 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 12, 2005PECOS Enrolled

8037 PICARDY AVE, BATON ROUGE, LA 70809(225) 767-3680(225) 767-5578 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Thad Stephens Broussard M.d. NPPES

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

DR. THAD STEPHENS BROUSSARD M.D. (NPI 1396743506) is an individual neuromusculoskeletal medicine, sports medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (014869) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396743506

Entity TypeIndividualMale

Primary Taxonomy204C00000X

Provider Legal NameDR. THAD STEPHENS BROUSSARDCredential: M.D.

Location Address8037 PICARDY AVEBaton Rouge, LA 70809-3538

Mailing Address8037 Picardy AveBaton Rouge, LA 70809-3538 · (225) 767-3680 · Fax (225) 767-5578

Phone(225) 767-3680

Fax(225) 767-5578

Sole ProprietorYes

Enumeration DateJuly 12, 2005

Last NPPES UpdateMarch 14, 2008

✔ NPI 1396743506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

License✔ Licensed in LA · 014869

Definition

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

8037 PICARDY AVE, Baton Rouge, LA 70809

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Other Identifiers 6

Other2695399LA · Cigna

Medicare ID-Type Unspecified5L081LA

Other690092LA · Aetna

Medicare UPINB61189LA

Medicare NSC0190910001LA

Medicaid1340901LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thad Stephens Broussard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Thad Broussard's NPI number?

The NPI number for Thad Broussard is 1396743506. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Thad Broussard located?

Thad Broussard practices at 8037 Picardy Ave, Baton Rouge, LA 70809. The listed phone number is (225) 767-3680.

What is Thad Broussard's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Is Thad Broussard enrolled in Medicare?

Yes. Thad Broussard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thad Broussard was last updated on March 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.