What is Gerald Broussard's NPI number?

Gerald Broussard's National Provider Identifier (NPI) is 1104117688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Gerald Broussard's specialty?

Gerald Broussard is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).

Where is Gerald Broussard located?

Gerald Broussard's practice location on file with NPPES is 6051 U S Highway 49, Hattiesburg, MS 39401-7200.

What is Gerald Broussard's phone number?

The practice phone number listed in the NPPES registry for Gerald Broussard is (800) 494-8260.

Does Gerald Broussard accept Medicare?

Gerald Broussard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Gerald Broussard's NPI active?

Yes — Gerald Broussard's NPI (1104117688) is active in the NPPES registry as of the last update on 2026-05-06.

IndividualActiveAccepts Medicare

Gerald Broussard, MD

NPI 1104117688 · Diagnostic Radiology Physician · Hattiesburg, MS

Gerald Broussard, MD is a Diagnostic Radiology Physician provider in Hattiesburg, MS (NPI 1104117688).

Provider details

NPI number: 1104117688
Entity type: Individual
Primary specialty: Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: R2826 (KY)

Practice location

6051 U S Highway 49

Hattiesburg, MS 39401-7200

Phone: (800) 494-8260

Fax: (859) 368-0437

Street-level locationGet directions

More MS providers

Mailing address

5000 W 4th St

Hattiesburg, MS 39402-1000

Specialties & taxonomies

Diagnostic Radiology PhysicianPrimary2085R0202XLicense 24982 (MS)
Allopathic & Osteopathic Physicians
Diagnostic Radiology Physician2085R0202XLicense R2826 (KY)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care
Addiction Medicine (Internal Medicine) Physician207RA0401XLicense R2826 (KY)
Allopathic & Osteopathic Physicians

Additional practice locations (1)

178 Highway 24 E
Centreville, MS 39631-4171
Phone: (601) 890-0500
Fax: (601) 645-5873

Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(88/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
15 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
2 documented practice locations
Medicare service volume (vs. specialty peers)28% of score
4,952 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
X-Ray of Chest, 1 View71045	1,044	$8
Ct Scan Head Or Brain Without Contrast70450	472	$36
X-Ray of Chest, 2 Views71046	406	$28
X-Ray of Chest, 2 Views71046	264	$10
Ct Scan of Abdomen and Pelvis With Contrast74177	145	$171
X-Ray of Abdomen, 1 View74018	139	$8
Ct Scan of Abdomen and Pelvis Without Contrast

Enumerated: 2011-05-02
Last updated: 2026-05-06
Certified: 2026-05-06

Frequently asked questions

What is Gerald Broussard's NPI number?: Gerald Broussard's National Provider Identifier (NPI) is 1104117688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Gerald Broussard's specialty?: Gerald Broussard is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
Where is Gerald Broussard located?: Gerald Broussard's practice location on file with NPPES is 6051 U S Highway 49, Hattiesburg, MS 39401-7200.
What is Gerald Broussard's phone number?: The practice phone number listed in the NPPES registry for Gerald Broussard is (800) 494-8260.
Does Gerald Broussard accept Medicare?: Gerald Broussard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Gerald Broussard's NPI active?: Yes — Gerald Broussard's NPI (1104117688) is active in the NPPES registry as of the last update on 2026-05-06.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Additional practice locations (1)

Profile Score

What this provider does (Medicare)

Registry dates

Frequently asked questions

Specialties & taxonomies

Additional practice locations (1)

Frequently asked questions

Profile Score

What this provider does (Medicare)