Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Paul Broussard, MD

Individual provider Urology Physician · NPI 1407147291

Andre Paul Broussard, MD is an Urology in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2011, 15 years ago. Practices with Southern Urology LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
15
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 675-5053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 300911 (LA)

Record details

NPI number1407147291
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2011
Last updated in NPPESMay 24, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2011 (15 years in practice)
Group practice Southern Urology Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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