Gerald B Broussard Jr, MD - Medicare Diagnostic Radiology in Hattiesburg, MS

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Gerald B Broussard Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Hattiesburg, Mississippi. He went to Tulane University School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Field Memorial Community Hospital, Comprehensive Radiology Services, Pllc, Franklin County Memorial Hospital, Hattiesburg Clinic Pa and his current practice location is 6051 U S Highway 49, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (800) 494-8260.

Gerald B Broussard Jr is licensed to practice in Mississippi (license number 24982) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104117688.

Contact Information

Gerald B Broussard Jr, MD
6051 U S Highway 49,
Hattiesburg, MS 39401-7200
(800) 494-8260
(859) 368-0437

Map and Direction




Physician's Profile

Full NameGerald B Broussard Jr
GenderMale
SpecialityDiagnostic Radiology
Experience14 Years
Location6051 U S Highway 49, Hattiesburg, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gerald B Broussard Jr attended and graduated from Tulane University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1104117688
  • Provider Enumeration Date: 05/02/2011
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1850604802
  • Enrollment ID: I20170524002825

Medical Identifiers

Medical identifiers for Gerald B Broussard Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104117688NPI-NPPES
07124262MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RA0401XInternal Medicine - Addiction Medicine R2826 (Kentucky)Secondary
2085R0202XRadiology - Diagnostic Radiology R2826 (Kentucky)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology 24982 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Forrest General HospitalHattiesburg, MSHospital
Merit Health WesleyHattiesburg, MSHospital
Magee General HospitalMagee, MSHospital
Wayne General HospitalWaynesboro, MSHospital
Simpson General Hospital CahMendenhall, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Field Memorial Community Hospital054724854439
Comprehensive Radiology Services, Pllc175936494625
Franklin County Memorial Hospital246635524333
Hattiesburg Clinic Pa5193706794492

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gerald B Broussard Jr allows following entities to bill medicare on his behalf.
Entity NameFranklin County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669705612
PECOS PAC ID: 2466355243
Enrollment ID: O20040129000396
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685
Entity NameComprehensive Radiology Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992731590
PECOS PAC ID: 1759364946
Enrollment ID: O20040609000828
Entity NameField Memorial Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881648376
PECOS PAC ID: 0547248544
Enrollment ID: O20040707001237

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gerald B Broussard Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gerald B Broussard Jr, MD
5000 W 4th St,
Hattiesburg, MS 39402-1000

Ph: (800) 494-8260		Gerald B Broussard Jr, MD
6051 U S Highway 49,
Hattiesburg, MS 39401-7200

Ph: (800) 494-8260

Reviews and Comments


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Dr. Neil J Solomon, M.D.
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Dr. Richard F Mccarthy, M.D.
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Steven G Cunningham, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.