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NPI · 1376744771 · NPPES-sourced

Jason Broussard D.O.

ActivePsychiatry
NPI Number
1376744771
Type 1 · Individual
Taxonomy Code
2084P0800X
Contact
(318) 716-4610
License LA · DO.000136
Last Updated
About 3 years ago (Oct 2022)
Enumerated 2007-05-31
Primary practice addressLA · 71101-3841
1111 Line Ave Fl 3Shreveport, LA 71101-3841
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About this NPIWhat this record shows.

NPI 1376744771 is registered to Jason Broussard D.O., a Psychiatry practising at 1111 Line Ave Fl 3 in Shreveport, Louisiana. Psychiatry is the medical specialty focused on the diagnosis, treatment, and prevention of mental health conditions, including depression, anxiety, bipolar disorder, and schizophrenia. Jason Broussard D.O. has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2007-05-31
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds 3 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jason Broussard D.O. accepts. To confirm in-network status with your specific health plan, contact Jason Broussard D.O. directly at (318) 716-4610.

Frequently asked

Yes. NPI 1376744771 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychiatry is the medical specialty focused on the diagnosis, treatment, and prevention of mental health conditions, including depression, anxiety, bipolar disorder, and schizophrenia.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (318) 716-4610.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jason Broussard D.O. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2084P0800X
Last updated2022-10
Enumerated2007-05-31
StatusActive
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