GERALD B BROUSSARD MD NPI 1104117688

NPI Information

  • NPI: 1104117688
  • Provider Name: GERALD B BROUSSARD, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6051 U S HIGHWAY 49
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (800) 494-8260

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NPI Details

Gerald B Broussard, MD is a diagnostic radiology radiology in Hattiesburg, MS with 14 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Gerald B Broussard, MD NPI is 1104117688. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

6051 U S HIGHWAY 49
HATTIESBURG, MS
ZIP 39401-200
Phone: (800) 494-8260
Fax: (859) 368-0437

The NPI 1104117688 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml (HCPCS:A9579)
  • Injection, gadoteridol, (prohance multipack), per ml (HCPCS:A9576)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of hand, 2 views (HCPCS:73120)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)

The enumeration date for this NPI number is 5/2/2011 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0401XInternal MedicineAddiction MedicineR2826KENTUCKYNo
22085R0202XRadiologyDiagnostic RadiologyR2826KENTUCKYNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
42085R0202XRadiologyDiagnostic Radiology24982MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
107124262MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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