Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON BROUSSARD, D.O.
ActiveJASON BROUSSARD, D.O. is a Psychiatry healthcare provider located in SHREVEPORT, Louisiana. NPI 1376744771 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · SHREVEPORT, LA
Registration Details
- NPI Number
- 1376744771
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2007 (19.18053006172 yrs)
- Last Updated
- Oct 4, 2022
- License
-
DO.000136 (LA)
Practice Information
- Address
-
1111 LINE AVE FL 3SHREVEPORT, LA, 711013841Browse LA providers · Browse ZIP 71101
- Phone
- 3187164610
- Fax
- 3187164690
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| LLOYD DEWAYNE BELLAH | MD | 1770575177 |
| DR. KIMBERLY DAWN LAW | M.D., M.P.H. | 1427029438 |
| DR. DANIEL JAMES FEENEY | M.D. | 1326012949 |
| LAURA L MCCLINTOCK | D.O. | 1932174414 |
| DR. SURESH KUMAR DONEPUDI | MD | 1922075035 |
| DR. LARRIE ANN WILLIAMSON | M.D. | 1356319453 |
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.