Karlo D Broussard
Case Manager/Care Coordinator in New Orleans, LA. Individual provider (NPI-1).
NPI number1093674087
StatusActive
Last updated in NPPESJan 16, 2026
Details
- NPI
- 1093674087
- Entity type
- Individual (NPI-1)
- Name
- Karlo D Broussard
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2026
- Certification date
- Jan 16, 2026
- Last updated
- Jan 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | LA | Yes |
Practice location
200 S Broad StNew Orleans, LA 70119-6447
Phone 504-821-7616
Mailing address
200 S Broad StNew Orleans, LA 70119-6447
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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