BROUSSARD CHIROPRACTIC CENTER INC NPI 1366590648

NPI Information

  • NPI: 1366590648
  • Provider Name: BROUSSARD CHIROPRACTIC CENTER, INC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • CLIA Number: 19D2102916
  • Address: 331 HOSPITAL RD
    NEW ROADS, LA
    ZIP 70760
  • Phone: (225) 618-8016

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NPI Details

BROUSSARD CHIROPRACTIC CENTER, INC is a chiropractor in New Roads, LA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BROUSSARD CHIROPRACTIC CENTER, INC NPI is 1366590648. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

331 HOSPITAL RD
NEW ROADS, LA
ZIP 70760-622
Phone: (225) 618-8016
Fax: (225) 618-8028

The provider's authorized official is Latresia Grace Broussard .
The authorized official title is Chiropractor and has the following contact phone number (225) 618-8016.

The CLIA number assigned to this NPI record is 19D2102916 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 7/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1307LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14C668CT63MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
21509060MEDICAIDLOUISIANA
36399070001MEDICARE NSCLOUISIANA
4U85337MEDICARE UPINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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