NPI 1396743506

Thad Stephens Broussard, MD

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Baton Rouge, LA

Practice location

Address: 8037 Picardy Ave, Baton Rouge, LA 70809-3538
Phone: (225) 767-3680
Fax: (225) 767-5578

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 014869 (LA)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Louisiana →

Registry record

NPI: 1396743506
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2005
Record last updated: 14 Mar 2008

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.