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

Judd Tanner Broussard, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1073612693

Judd Tanner Broussard, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lafayette, Louisiana. Qualified in 2005, 21 years ago. Practices with Los Anesthesia Services LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
21
Licensed in
LA
In the registry since
2006
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

1103 Kaliste Saloom Rd Ste 304
Lafayette, LA 70508-5783
Phone: (337) 988-5646
Fax: (337) 988-4298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 — (337) 470-2574

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP04874 (LA)

Record details

NPI number1073612693
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Los Anesthesia Services Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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