BROUSSARD SURGERY INSTITUTE INC. NPI 1649215765

NPI Information

  • NPI: 1649215765
  • Provider Name: BROUSSARD SURGERY INSTITUTE, INC.
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • CLIA Number: 19D0870005
  • Address: 1250 PECANLAND RD
    SUITE E-1
    MONROE, LA
    ZIP 71203
  • Phone: (318) 387-2015

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NPI Details

BROUSSARD SURGERY INSTITUTE, INC. is an ophthalmologic surgery clinic center in Monroe, LA. BROUSSARD SURGERY INSTITUTE, INC. NPI is 1649215765. The provider is registered as an organization entity type.

The provider's business location address is:

1250 PECANLAND RD
SUITE E-1
MONROE, LA
ZIP 71203-011
Phone: (318) 387-2015
Fax: (318) 387-2097

The provider's authorized official is Danica G Nelson .
The authorized official title is Business Manager and has the following contact phone number (318) 387-2015.

The CLIA number assigned to this NPI record is 19D0870005 - ambulatory surgery center with a certificate type of Certificate of Waiver.

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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)

The enumeration date for this NPI number is 6/20/2006 and was last updated on 8/22/2020.

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
1261QS0132XClinic/CenterOphthalmologic Surgery124LOUISIANAYes

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
11925276MEDICAIDLOUISIANA

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: 11/21/2025

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