BROUSSARD FAMILY PRACTICE, PLLC
NPI 1710320908
Specialist in Beaumont, TX
NPI Status: Active since April 08, 2013
Contact Information
810 HOSPITAL DR STE 100
BEAUMONT, TX
ZIP 77701
Phone: (409) 833-0342
- Organization
- Specialist
- CLIA Number: 45D2066878
- CLIA Cert. Type: Other - LASER
- CLIA Exp. Date: 10-03-2027
About BROUSSARD FAMILY PRACTICE, PLLC
This page provides the complete NPI Profile along with additional information for Broussard Family Practice, Pllc, a provider established in Beaumont, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1710320908 assigned on April 2013. The practitioner's primary taxonomy code is 174400000X with license number L2891 (TX). The provider is registered as an organization and their NPI record was last updated 4 years ago. Broussard Family Practice, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Juliette Rose Broussard Fnpc (Family Nurse Practitioner/owner)
- NPI
- 1710320908
- Provider Name
- BROUSSARD FAMILY PRACTICE, PLLC
- Entity Type
- Organization
- Location Address
- 810 HOSPITAL DR STE 100 BEAUMONT, TX 77701
- Location Phone
- (409) 833-0342
- Mailing Address
- PO BOX 7096 BEAUMONT, TX 77726
- Mailing Phone
- (409) 833-0342
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-08-2013
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Secondary Locations
- 7675 Folsom Dr Ste 300B
Beaumont, TX 77706
(409) 833-0342
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- L2891
- License State
- TX
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 651610 (TX) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2066878
- Facility Type
- Other - LASER
- Certificate Effective Date
- October 04, 2025
- Certificate Expiration Date
- October 03, 2027
- Laboratory Director
- JULIETTE BROUSSARD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Broussard Family Practice, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BROUSSARD FAMILY PRACTICE, PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1710320908, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710320908, enumerated as an "organization" on April 08, 2013.
The provider is located at 810 HOSPITAL DR STE 100 BEAUMONT, TX 77701 and the phone number is (409) 833-0342.
Specialist with taxonomy code 174400000X.
