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

Dr. Heath Jude Broussard II, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497217608

Dr. Heath Jude Broussard II, DO is an Emergency Medicine in Hattiesburg, Mississippi. Qualified in 2019, 7 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone: (601) 296-3963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5001 Hardy St, Hattiesburg, MS 39402 — (601) 296-3963

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5435 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497217608
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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