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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GERALD B BROUSSARD JR., MD

Active

GERALD B BROUSSARD JR., MD is a Diagnostic Radiology healthcare provider located in HATTIESBURG, Mississippi. NPI 1104117688 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · HATTIESBURG, MS

Registration Details

NPI Number
1104117688
Provider Type
Individual
Gender
Male
NPI Issued
May 2, 2011 (15.248934089006 yrs)
Last Updated
Jul 21, 2022
Licenses
R2826 (KY)
R2826 (KY)
24982 (MS)

Practice Information

Address
6051 U S HIGHWAY 49
HATTIESBURG, MS, 394017200
Browse MS providers · Browse ZIP 39401
Phone
8004948260
Fax
8593680437
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Diagnostic Radiology
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in HATTIESBURG, MS

Name Credential NPI
STEVEN G CUNNINGHAM MD 1336140078
DR. JAMES A YORK MD 1497730469
DR. PAUL M ROCCONI M.D. 1629014113
DR. HERNANDO VELEZ M.D. 1376579490
DR. CRAIG S HOWARD M.D. 1003844242
DR. STEVEN M MURPHEY M.D. 1669400495
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.