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DR. HEATH JUDE BROUSSARD II DO
NPI 1497217608
Emergency Medicine in Hattiesburg, MS

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
44.33/100
CMS Quality Rating
5001 HARDY ST, HATTIESBURG, MS 39402(601) 296-3963 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 27, 2025, Apr 5, 2019 (2 updates tracked since 2019).

About Dr. Heath Jude Broussard Ii Do NPPES

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

DR. HEATH JUDE BROUSSARD II DO (NPI 1497217608) is an individual emergency medicine provider in Hattiesburg, Mississippi, licensed in Tennessee (5435) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Roane Medical Center, and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1497217608
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. HEATH JUDE BROUSSARD IICredential: DO
Location Address5001 HARDY STHattiesburg, MS 39402-1308
Mailing Address5001 Hardy StHattiesburg, MS 39402-1308
Phone(601) 296-3963
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 5, 2019
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1497217608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 5435
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5001 HARDY ST, Hattiesburg, MS 39402
Open in Google Maps ↗

Secondary Practice Location 1

Location 15001 Hardy StHattiesburg, MS 39402 · Phone (601) 296-3963

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Heath Jude Broussard Ii Do 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 ID8921339987
PECOS Enrollment IDI20250109001776
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Heath Broussard reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Magee Benevolent Association
35 mi
Family Medicine
105 EATON STREET
Taylorsville, MS 39168
  • Reassigned Medicare billing, Mississippi enrollment
  • 87 clinicians in this Medicare group
NPI 1871888271 (601) 785-6786
Independent Healthcare Management Inc
44 mi
Rural Health
376 SIMPSON HIGHWAY 149 STE 300
Magee, MS 39111
  • Reassigned Medicare billing, Mississippi enrollment
  • 94 clinicians in this Medicare group
NPI 1316557986 (601) 849-6440
Medical Services Of Meridian, Inc.
262 mi
Emergency Medicine
6075 POPLAR AVENUE, SUITE 401
Memphis, TN 38119
  • Reassigned Medicare billing, Mississippi enrollment
  • 81 clinicians in this Medicare group
NPI 1174095988 (901) 795-3600
Emergency Coverage, LLC
479 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Southeastern Emergency Physicians LLC
594 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
166 services164 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
65 services65 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Roane Medical Center

Acute Care Hospitals · Harriman, TN
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440031
Location8045 Roane Medical Center DriveHarriman, TN 37748 · Roane County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

44.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality30
Improvement Activities40
Cost17.81

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.

BLAKE EDWIN BOLEWARE
Student in an Organized Health Care Education/Training Program
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000
RIVER PHYSICIANS GROUP LLC
Emergency Medicine
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (770) 874-5439
BRADLEY WILLIAMS DO
Emergency Medicine
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 296-3963
MIJU YU KURTZWEIL D.O.
Emergency Medicine
5001 HARDY ST, MERIT HEALTH WESLEY
HATTIESBURG, MS 39402
Lamar County (601) 296-3963
ANNETTE LONGO MD
Emergency Medicine
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000
RUBY MCCULLOUGH HOPKINS MD
Student in an Organized Health Care Education/Training Program
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000
ALEX GAUTHIER
Internal Medicine
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000
WESLEY HEALTH SYSTEM LLC
Psychiatric Unit
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000

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 Heath Broussard's NPI number?

The NPI number for Heath Broussard is 1497217608. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Heath Broussard located?

Heath Broussard practices at 5001 Hardy St, Hattiesburg, MS 39402. The listed phone number is (601) 296-3963.

What is Heath Broussard's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Heath Broussard enrolled in Medicare?

Yes. Heath 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.

Which organizations bill Medicare for Heath Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heath Broussard reassigns Medicare benefits to 5 organizations: Magee Benevolent Association (Taylorsville, MS), Independent Healthcare Management Inc (Magee, MS), Medical Services Of Meridian, Inc. (Memphis, TN), Emergency Coverage, LLC (Newport, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). Each 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 Heath Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Heath Broussard affiliated with any hospitals?

According to CMS data, Heath Broussard is affiliated with Roane Medical Center and Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Heath Broussard was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.