Broussard Clinic of Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4880 Issued in TX

Legal business name

BROUSSARD CLINIC OF CHIROPRACTIC, INC.

Practice address

6701 Aberdeen Ave
Suite 7
Lubbock, TX 79424-1519

Phone

(806) 796-0098

Fax

(806) 796-0976

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andre Alexis Broussard, D.C.NPI 1427083260

Title

President

Phone

(806) 796-0098

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Andre Broussard, D.C.

  • Chiropractor
  • Lubbock, TX
  • NPI 1427083260
  Medicare reassignment NPD Authorized official
• Andre Edmond Broussard, M.D.

  • Pediatric Sports Medicine Physician
  • New York, NY
  • NPI 1710069695
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205846920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 ABERDEEN AVE",
            "address_2": "SUITE 7",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241519",
            "telephone_number": "806-796-0098",
            "fax_number": "806-796-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ABERDEEN AVE",
            "address_2": "SUITE 7",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241519",
            "telephone_number": "806-796-0098",
            "fax_number": "806-796-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUSSARD CLINIC OF CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-796-0098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joel Broselow, MD
• Donald Leroy Brothers, LMSW
• Jorge R Brothers, M.D.
• Kandis Lee Brothers, M.A., CCC-SLP
• Stacy Brothers, FNP
• Andre Broussard, D.C.
• Amanda Jane Brown, O.D.
• Amanda Michelle Brown, PT
• Amy Michelle Brown
• Beverly Kay Brown, OTR

• Chiropractor in Lubbock, TX
• Providers in Lubbock, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.