NPI 1043179609

Terrell Broussard

Practitioner Transportation Network Company Breaux Bridge, LA

Practice location

Address: 612 Zimmerman St, Breaux Bridge, LA 70517-5855
Phone: (337) 342-1204

Registered specialties

Transportation Network Company Primary

Transportation Services Taxonomy 342000000X

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Registry record

NPI: 1043179609
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2026
Record last updated: 20 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.