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

Gerald B Broussard Jr., MD

Individual provider Diagnostic Radiology Physician · NPI 1104117688

Gerald B Broussard Jr., MD is a Diagnostic Radiology in Hattiesburg, Mississippi. Graduated from Tulane University School of Medicine in 2011, 15 years ago. Practices with Field Memorial Community Hospital, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Mississippi.

Years since qualifying
15
Trained at
Tulane University School of Medicine
Licensed in
KY, MS
In the registry since
2011
Specialties on file
4
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

6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone: (800) 494-8260
Fax: (859) 368-0437
Show map & directions

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

Additional practice locations (1)

  • 178 Highway 24 E, Centreville, MS 39631-4171 — (601) 890-0500

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 24982 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence R2826 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X · Licence R2826 (KY)

Record details

NPI number1104117688
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2011
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Field Memorial Community Hospital — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Hattiesburg