Individual provider Active NPI

Brad A Grizzaffi, D.C.

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1346320561
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1184 Issued in LA
Practice address
100 La Rue France
Lafayette, LA 70508-3112
Phone
(337) 237-2273
Fax
(337) 237-1765
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1184 LA Primary

Addresses

Primary practice location

100 La Rue France
Lafayette, LA 70508-3112

Mailing address

100 La Rue France
Lafayette, LA 70508-3112
Phone (337) 237-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081201000408 LA Practitioner - Chiropractic 6305907999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Pinhook Chiropractic Clinic LLCGroup PAC ID 1052472644, 3 clinicians

Practice addresses (Care Compare)

100 La Rue France
Lafayette, LA 70508-3112
Phone (337) 237-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1184LAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinhook Chiropractic Clinic LLC Chiropractor CurrentSince Jul 18, 2008 Accepting new patients
Pinhook Chiropractic Clinic Chiropractor Past Accepting new patients

Locations

100 La Rue France
Lafayette, LA 70508
Phone (337) 237-2273

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1346320561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LA RUE FRANCE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083112",
            "telephone_number": "337-237-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LA RUE FRANCE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083112",
            "telephone_number": "337-237-2273",
            "fax_number": "337-237-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZAFFI",
        "first_name": "BRAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.