Broussard Family Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9733 Issued in TX

Legal business name

BROUSSARD FAMILY CHIROPRACTIC, P.A.

Practice address

6755 Phelan Blvd
Suite 18
Beaumont, TX 77706-6075

Phone

(409) 866-7566

Fax

(409) 866-9566

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Coty Broussard, D.C.NPI 1124088414

Title

Owner

Phone

(409) 866-7566

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Coty Broussard, DC

  • Chiropractor
  • Beaumont, TX
  • NPI 1124088414
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184648776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 PHELAN BLVD",
            "address_2": "SUITE 18",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066075",
            "telephone_number": "409-866-7566",
            "fax_number": "409-866-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 PHELAN BLVD",
            "address_2": "SUITE 18",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066075",
            "telephone_number": "409-866-7566",
            "fax_number": "409-866-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUSSARD FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "COTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-866-7566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Rene Brookins, ATC, LAT
• Kelli Brooke Brooks, MSN, NNP-BC
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Joseph Brottem, Crna
• Broussard Eye Associates, LLLP
• Broussard Family Practice, PLLC
• Aeris Broussard, MOT, OTR/L
• Amber Broussard, PMHNP
• James Coty Broussard, DC
• Juliette R. Broussard, MSN, RN, FNPC

• Chiropractor in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.