IndividualActive
Jody Broussard
NPI 1659871796 · Driver · Deridder, LA
Jody Broussard is a Driver provider in Deridder, LA (NPI 1659871796).
Provider details
- NPI number
- 1659871796
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 005855942 (LA)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
494 Otto Franklin Rd
Deridder, LA 70634-6404
Phone: (337) 396-1312
Fax: (337) 462-0283
Street-level locationGet directions
Mailing address
494 Otto Franklin Rd
Deridder, LA 70634-6404
Registry dates
- Enumerated
- 2018-02-15
- Last updated
- 2018-02-15
Frequently asked questions
- What is Jody Broussard's NPI number?
- Jody Broussard's National Provider Identifier (NPI) is 1659871796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jody Broussard's specialty?
- Jody Broussard is listed in the NPPES registry with a primary specialty of Driver (Other Service Providers).
- Where is Jody Broussard located?
- Jody Broussard's practice location on file with NPPES is 494 Otto Franklin Rd, Deridder, LA 70634-6404.
- What is Jody Broussard's phone number?
- The practice phone number listed in the NPPES registry for Jody Broussard is (337) 396-1312.
- Is Jody Broussard's NPI active?
- Yes — Jody Broussard's NPI (1659871796) is active in the NPPES registry as of the last update on 2018-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.