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

Individual provider Internal Medicine Physician · NPI 1609838861

Craig V Broussard, MD is an Internal Medicine in Lake Charles, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
32
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2006
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

4345 Nelson Rd Ste 201
Lake Charles, LA 70605-4183
Phone: (337) 494-6800
Fax: (337) 494-6811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12750R (LA)

Record details

NPI number1609838861
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2006
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022
Mailing addressPo Box 122205, Dept 2205, Dallas, TX 75312-2205

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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