IndividualActive
Thad Broussard, M.D.
NPI 1396743506 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Baton Rouge, LA
Provider details
- NPI number
- 1396743506
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 014869 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
8037 Picardy Ave
Baton Rouge, LA 70809-3538
Phone: (225) 767-3680
Fax: (225) 767-5578
Approximate (ZIP-level) locationGet directions
Mailing address
8037 Picardy Ave
Baton Rouge, LA 70809-3538
Registry dates
- Enumerated
- 2005-07-12
- Last updated
- 2008-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.