Individual provider Active NPI

Larry G. Breedlove, D.C.

  • Chiropractor
  • West Lake Hills, TX
National Provider Identifier
1023140621
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4064 Issued in TX
Practice address
3839 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5990
Phone
(512) 327-2921
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4064 TX Primary

Addresses

Primary practice location

3839 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5990

Mailing address

3839 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5990
Phone (512) 327-2921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140927000110 TX Practitioner - Chiropractic 9638399553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2525 Wallingwood Dr
BLDG 13a
Austin, TX 78746-6932
Phone (512) 327-2921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4064TXMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
L G Breedlove, PLLC Chiropractor CurrentSince Sep 15, 2014 Accepting new patients

Locations

2525 Wallingwood Dr
Bldg 13A
Austin, TX 78746
Phone (512) 327-2921

Interoperability endpoints

  • Direct secure messaging: niki@drlarrybreedlove.providersdirect.com
  • Direct secure messaging: larry@drlarrybreedlove.providersdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1023140621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 BEE CAVES RD STE 206",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465990",
            "telephone_number": "512-327-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 BEE CAVES RD STE 206",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465990",
            "telephone_number": "512-327-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDLOVE",
        "first_name": "LARRY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.