Provider profile

Individual

Gerald B Broussard

Radiology in Hattiesburg, MS. NPI 1104117688, listed in the CMS NPI Registry since 05/02/2011. Bills Medicare.

NPI 1104117688Specialty RadiologyEnumerated 05/02/2011
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Registry and Medicare facts

Practice location
6051 U S Highway 49, Hattiesburg, MS 39401
CMS NPI Registry
Phone
(800) 494-8260
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
05/02/2011
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,797 Part B
CMS Medicare 2024

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