Individual provider Active NPI

Brenton Garrick Schulz, D.C.

  • Chiropractor
  • Mandeville, LA
National Provider Identifier
1285729079
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1267 Issued in LA
Practice address
3701 Highway 59
Suite D
Mandeville, LA 70471-1905
Phone
(985) 809-3135
Fax
(985) 809-3035
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1267 LA Primary

Addresses

Primary practice location

3701 Highway 59
Suite D
Mandeville, LA 70471-1905

Mailing address

3701 Highway 59
Suite D
Mandeville, LA 70471-1905
Phone (985) 809-3135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040731000301 LA Practitioner - Chiropractic 4688644073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Health Solutions LLCGroup PAC ID 5597097576, 7 clinicians

Practice addresses (Care Compare)

3001 Division St
Suite 105
Metairie, LA 70002-5854
Phone (504) 832-3937

56634 Bosworth St
Slidell, LA 70458-8625
Phone (985) 641-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
La Health Solutions, LLC Chiropractor CurrentSince Jan 1, 2022 Accepting new patients
La Tchops LLC Chiropractor PastSince Dec 14, 2009 Accepting new patients

Locations

3001 Division St
Ste 105
Metairie, LA 70002
Phone (504) 832-3937

56634 Bosworth St
Slidell, LA 70458
Phone (985) 641-2222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285729079",
    "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": {
        "last_name": "SCHULZ",
        "first_name": "BRENTON",
        "middle_name": "GARRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.