Organization Active NPI

Miracle Express Transit, LLC

  • Non-emergency Medical Transport (VAN)
  • Breaux Bridge, LA
National Provider Identifier
1114840360
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MIRACLE EXPRESS TRANSIT, LLC
Practice address
612 Zimmerman St
Breaux Bridge, LA 70517-5855
Phone
(337) 342-1204
NPI assigned
Aug 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Terrell BroussardNPI 1043179609
Title
Owner
Phone
(337) 342-1204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

612 Zimmerman St
Breaux Bridge, LA 70517-5855

Mailing address

612 Zimmerman St
Breaux Bridge, LA 70517-5855
Phone (337) 342-1204

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1114840360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ZIMMERMAN ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705175855",
            "telephone_number": "337-342-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ZIMMERMAN ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705175855",
            "telephone_number": "337-342-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE EXPRESS TRANSIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-342-1204"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.