Austin A Bouzigard, DC
Individual provider Active NPI Chiropractor · Lockport, LA
NPI 1003461682 · NPPES record last updated Aug 9, 2019
Key facts
- NPI
- 1003461682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1869 (LA)
- Practice address
- 5550 N Highway 1
Lockport, LA 70374-2000 - Phone
- (985) 532-6800
- Fax
- (985) 532-6813
- NPI assigned
- Aug 9, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Moreau Physical Therapy Inc.
Practice addresses (Care Compare)
9808 Bluebonnet Blvd
Suite 201
Baton Rouge, LA 70810-6442
Phone (225) 239-5680
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190903001374 | LA | Practitioner - Chiropractic | 3779812631 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (2 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 | Current |
Accepting new patients | |
| Moreau Physical Therapy Inc. | Chiropractor | Current |
Accepting new patients |
Locations
4971 Groom Rd
Baker, LA 70714
Phone (225) 775-3145
11424 Sullivan Rd
#A-C
Baton Rouge, LA 70818
Phone (225) 261-7021
9808 Bluebonnet Blvd
#201
Baton Rouge, LA 70810
Phone (225) 202-6124
4324 S Sherwood Frst
Ste B170
Baton Rouge, LA 70816
577 W Highway 30
Ste D
Gonzales, LA 70737
Phone (225) 462-2233
4845 Main St
#C
Zachary, LA 70791
Phone (225) 286-0181
Networks
- MS PPO C-SNP
- LA PPO C-SNP
- MS PPO
- TX HMO
- MS PPO D-SNP
- TX HMO D-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1869 | LA | Yes |
Addresses
Primary practice location
5550 N Highway 1
Lockport, LA 70374-2000
Mailing address
PO Box 117
Lockport, LA 70374-0117
Phone (985) 532-6800
Other providers in Lockport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.