Dr. Brenton G. Schulz, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1267 Issued in LA

Legal business name

DR. BRENTON G. SCHULZ, LLC

Practice address

3701 Highway 59
Suite D
Mandeville, LA 70471-1905

Phone

(985) 809-3135

Fax

(985) 809-3035

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brenton Garrick Schulz, D.C.

Title

Owner/Doctor of Chiropractic

Phone

(985) 809-3135

Specialties & licenses 1

Addresses

Other names 1

• Sports & Family Chiropractic Doing business as

Locations

Practitioners 1

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

• Jenny Dabdoub Zulli, APRN-CNP

  • Family Nurse Practitioner
  • Slidell, LA
  • NPI 1346024460
  NPD (past)

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1194047076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 HIGHWAY 59",
            "address_2": "SUITE D",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711905",
            "telephone_number": "985-809-3135",
            "fax_number": "985-809-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 HIGHWAY 59",
            "address_2": "SUITE D",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711905",
            "telephone_number": "985-809-3135",
            "fax_number": "985-809-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRENTON G. SCHULZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "BRENTON",
        "authorized_official_middle_name": "GARRICK",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "985-809-3135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "1267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports & Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kellie S Doolittle, LOTR
• Kirstie Alexa Dotson, CCC-SLP
• Christina D Doucet, LOTR
• Christopher Douglas, DC
• Dr Pete Cooper PHD LPC-S CLC LLC
• Dr. Roy L. Grob, Inc
• Dr. Tintin Devoe a Professional Medical Corporation
• Dream Team of la, Inc.
• Daniele Dubuclet
• Bevann Dubuisson, M.S., LPC

• Clinic/Center in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.