Broussard Family Practice, PLLC
NPI 1710320908ActiveOrganization· Specialist· Beaumont, TX
Specialist in Beaumont, Texas, registered in NPPES in April 2013. The authorized official on file is Juliette Rose Broussard, FNPC, Family Nurse Practitioner/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710320908 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 8, 2013 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | L2891 | TX |
| Nurse Practitioner, Family | 363LF0000X | 651610 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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