IndividualActive
Brad Boudreaux, MD
NPI 1811076995 · Emergency Medicine Physician · Lafayette, LA
Provider details
- NPI number
- 1811076995
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD.201157 (LA)
Practice location
3619 Ambassador Caffery Pkwy
Bldg E
Lafayette, LA 70503-5132
Phone: (337) 534-4410
Fax: (337) 534-4426
Mailing address
3619 Ambassador Caffery Pkwy
Lafayette, LA 70503-5132
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.