Active NPI
Quentin Mark Brisco, D.C.
- Chiropractor
- Lafayette, LA
National Provider Identifier
1174791461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1483
- Practice address
- 148 Easy St Ste a
Lafayette, LA 70506-3050 - Phone
- (337) 534-0091
- NPI assigned
- Feb 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10824 | TX | |
| Chiropractor | 111N00000X | 1483 | LA | Primary |
Addresses
Primary practice location
148 Easy St Ste a
Lafayette, LA 70506-3050
Mailing address
148 Easy St Ste a
Lafayette, LA 70506-3050
Phone (337) 534-0091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1483 | LA | MD | Psychologist |
| 10824 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lightfoot Clinic of Chiropractic | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Lafayette, LA
- NPI 1841442860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1174791461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 EASY ST STE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063050",
"telephone_number": "337-534-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 EASY ST STE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063050",
"telephone_number": "337-534-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISCO",
"first_name": "QUENTIN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10824",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.