Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shane T Broussard, P.A.

Physician Assistant in Lafayette, LA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164468435

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Registry record

Entity type Individual (Type 1)

Name Shane T Broussard

Credential P.A.

Sex Male

Practice address 1103 Kaliste Saloom Road, Suite 102, Lafayette, LA, 70508

Phone (337) 234-5234

Fax (337) 235-2121

Enumeration date Jun 22, 2006

Last updated in NPPES Feb 3, 2009

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License A10272 (LA) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Shane Broussard practice?

The practice location on file with NPPES is in Lafayette, LA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Shane Broussard?

The National Provider Identifier (NPI) for Shane Broussard is 1164468435, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-03.