Brandon Matthew Broadus, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1535 Issued in LA

Practice address

102 Fontainbleau Dr # D1
Mandeville, LA 70471-6518

Phone

(985) 400-5300

Fax

(985) 400-5301

NPI assigned

May 25, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broadus Chiropractic Services, LLCGroup PAC ID 8527200567, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

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.

• Broadus Chiropractic Services, LLC

  • Chiropractor
  • Mandeville, LA
  • NPI 1578909206
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1053630467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FONTAINBLEAU DR # D1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716518",
            "telephone_number": "985-789-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FONTAINBLEAU DR # D1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716518",
            "telephone_number": "985-400-5300",
            "fax_number": "985-400-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADUS",
        "first_name": "BRANDON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian H. Strand, M.D., a Professional Medical Corporation
• Josh Jermaine Bright
• Lauren Labourdette Brignac, LPC-S
• Terri Brignac, LPC, LMFT
• Broadus Chiropractic Services, LLC
• Jessica M Brock
• Mary Elizabeth Broussard, LOTR
• Blakely Lauren Brown-Warren, CAC
• Darrel Lee Brown, CFA PA
• Eryn McCall Brown, DC

• Chiropractor in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.