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

Individual provider Certified Registered Nurse Anesthetist · NPI 1619241064

Greg A Broussard, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lafayette, Louisiana. Qualified in 2011, 15 years ago. Practices with Youngs Professional Services LLC, a 294-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
15
Licensed in
LA
In the registry since
2012
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone: (337) 470-2966
Fax: (337) 470-2776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN112825AP06765 (LA)

Record details

NPI number1619241064
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 2, 2012
Last updated in NPPESMarch 2, 2012
Mailing addressPo Box 53864, Lafayette, LA 70505-3864

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Youngs Professional Services Llc — 294 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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