Physician Assistant
SHANE BROUSSARD P.A.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164468435 · enumerated 2006-06-22 · record updated 2009-02-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1103 KALISTE SALOOM ROAD, SUITE 102, LAFAYETTE, LA, 70508-2920 (337) 234-5234 Fax (337) 235-2121 Google Maps Apple Maps OpenStreetMap
- Practice location 1103 KALISTE SALOOM ROAD, SUITE 102, LAFAYETTE, LA, 70508-2920 (337) 234-5234 Fax (337) 235-2121 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License A10272 LA
In this directory
Locations and evidence
-
Practice location
LAFAYETTE, LA, 705082920
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.