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

Dr. Blaine Mark Broussard, MD

Individual provider Pediatrics Physician · NPI 1023251659

Dr. Blaine Mark Broussard, MD is an Internal Medicine in Alexandria, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2009, 17 years ago. Practices with Cenla Physicians, an 11-clinician group and offers telehealth. Licensed in Louisiana.

Years since qualifying
17
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

176 Versailles Blvd
Alexandria, LA 71303-2493
Phone: (318) 445-9331
Fax: (318) 619-6899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 206014 (LA)
Pediatrics Physician Taxonomy 208000000X · Licence 206014 (LA)

Record details

NPI number1023251659
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2009
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2009 (17 years in practice)
Group practice Cenla Physicians — 11 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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