1104117688 Gerald B Broussard Jr., MD
Diagnostic Radiology Physician
Active
Basic Information
- Full Name
- Gerald B Broussard Jr., MD
- Gender
- Male
- Enumeration Date
- May 2, 2011
- Last Update
- July 21, 2022
Practice Location
- Address
- 6051 U S HIGHWAY 49
HATTIESBURG, MS 394017200 - Phone
- (800) 494-8260
- Fax
- (859) 368-0437
Mailing Address
- Address
- 5000 W 4TH ST
HATTIESBURG, MS 394021000 - Phone
- (800) 494-8260
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician Addiction Medicine | 207RA0401X | Internal Medicine | R2826 | KY | No |
| Diagnostic Radiology Physician Diagnostic Radiology | 2085R0202X | Radiology | R2826 | KY | No |
| Student in an Organized Health Care Education/Training Program | 390200000X | Student in an Organized Health Care Education/Training Program | N/A | N/A | No |
| Diagnostic Radiology Physician Diagnostic Radiology | 2085R0202X | Radiology | 24982 | MS | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07124262 | 05 | MS | N/A |
Frequently Asked Questions
What is Gerald B Broussard Jr., MD's NPI number?
Gerald B Broussard Jr., MD's NPI number is 1104117688.
Which doctor has NPI number 1104117688?
The doctor with NPI number 1104117688 is Gerald B Broussard Jr., MD.
What is Gerald B Broussard Jr., MD's practice address?
Gerald B Broussard Jr., MD's practice address is 6051 U S HIGHWAY 49, HATTIESBURG, MS, 394017200.
Which doctor practices at 6051 U S HIGHWAY 49, HATTIESBURG, MS, 394017200?
Gerald B Broussard Jr., MD practices at 6051 U S HIGHWAY 49, HATTIESBURG, MS, 394017200.
What is Gerald B Broussard Jr., MD's mailing address?
Gerald B Broussard Jr., MD's mailing address is 5000 W 4TH ST, HATTIESBURG, MS, 394021000.
What is Gerald B Broussard Jr., MD's phone number?
Gerald B Broussard Jr., MD's phone number is (800) 494-8260.
Who is (800) 494-8260?
(800) 494-8260 is the phone number for Gerald B Broussard Jr., MD.
What is Gerald B Broussard Jr., MD's specialty?
Gerald B Broussard Jr., MD's specialty is Diagnostic Radiology Physician.
What type of doctor is Gerald B Broussard Jr., MD?
Gerald B Broussard Jr., MD is a Diagnostic Radiology Physician.
Is Gerald B Broussard Jr., MD a Diagnostic Radiology?
Yes, Gerald B Broussard Jr., MD is a Diagnostic Radiology.
Is Gerald B Broussard Jr., MD still practicing?
Yes, Gerald B Broussard Jr., MD is currently practicing.
Is Gerald B Broussard Jr., MD accepting new patients?
Gerald B Broussard Jr., MD may be accepting new patients. Please call their office at (800) 494-8260 to inquire about availability.
Is NPI 1104117688 still active?
Yes, NPI 1104117688 is currently active.
Where does Gerald B Broussard Jr., MD practice?
Gerald B Broussard Jr., MD practices in HATTIESBURG, MS.
Is Gerald B Broussard Jr., MD a male or female doctor?
Gerald B Broussard Jr., MD is a male doctor.