Organization Active NPI

Dr R B Vanbreemen LTD Apc

  • Chiropractor
  • Gonzales, LA
National Provider Identifier
1265565063
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
409 Issued in LA
Legal business name
DR R B VANBREEMEN LTD APC
Doing business as
Ascension Chiropractic & Diagonastic Clinic
Practice address
2107 S Burnside Ave
Suite 1
Gonzales, LA 70737-4665
Phone
(225) 647-8712
Fax
(225) 647-8718
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Dr. Robert Buckley Vanbreemen, D.C.
Title
Owner
Phone
(225) 647-8712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 409 LA Primary

Addresses

Primary practice location

2107 S Burnside Ave
Suite 1
Gonzales, LA 70737-4665

Mailing address

2107 S Burnside Ave
Suite 1
Gonzales, LA 70737-4665
Phone (225) 647-8712

Other names 1

  • Ascension Chiropractic & Diagonastic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2107 S Burnside Ave
Ste 1
Gonzales, LA 70737
Phone (225) 647-8712

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1265565063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 S BURNSIDE AVE",
            "address_2": "SUITE 1",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374665",
            "telephone_number": "225-647-8712",
            "fax_number": "225-647-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 S BURNSIDE AVE",
            "address_2": "SUITE 1",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374665",
            "telephone_number": "225-647-8712",
            "fax_number": "225-647-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR R B VANBREEMEN LTD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "VANBREEMEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BUCKLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-647-8712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Chiropractic & Diagonastic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.