Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659871796 Individual Practitioner Male Practitioner

Jody Mack Broussard

Driver • Deridder, LA

Professional Overview & Biography Verified Profile Summary

Jody Broussard is a registered healthcare professional specializing in Driver in Deridder, LA. Practice services are available at 494 OTTO FRANKLIN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

494 Otto Franklin Rd

Deridder, LA 706346404

Telephone 3373961312
Fax 3374620283

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Deridder, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Deridder, LA (360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License LA 005855942

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2018

Registered at 494 OTTO FRANKLIN RD, DERIDDER, LA 706346404 (Tel: 3373961312)

📍
Updated Business Mailing Address February 15, 2018

Registered at 494 OTTO FRANKLIN RD, DERIDDER, LA 706346404 (Tel: 3373961312)

👤
Provider Name / Credentials Updated February 15, 2018

Recorded as JODY BROUSSARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2018

Driver (License #005855942 in LA)

🟢
Initial NPI Registration & Enumeration February 15, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659871796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2018
Last Update: February 15, 2018
Sole Proprietor: Yes

Mailing Address

494 Otto Franklin Rd

Deridder, LA 706346404

Phone: 3373961312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.