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

Dr. Stacy R Broussard, MD

Individual provider Family Medicine Physician · NPI 1932249356

Dr. Stacy R Broussard, MD is a Family Practice in Saint Peters, Missouri. Graduated from Meharry Medical College School of Medicine in 1990, 36 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri and New Jersey.

Years since qualifying
36
Trained at
Meharry Medical College School of Medicine
Licensed in
MO, NJ
In the registry since
2007
Specialties on file
2
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

201 Bjc Saint Peters Dr Ste 200
Saint Peters, MO 63376-3386
Phone: (636) 916-9615
Show map & directions

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

Additional practice locations (1)

  • 11 Saddle Rd, Cedar Knolls, NJ 07927 — (973) 267-2122

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2021045311 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25MA06996700 (NJ)

Record details

NPI number1932249356
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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