NPIMap

Organization Active NPI

Medical Rehab Accident Injury Center of Gentilly,LLC

  • Chiropractor
  • New Orleans, LA
National Provider Identifier
1386010213
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1041 Issued in LA
Legal business name
MEDICAL REHAB ACCIDENT INJURY CENTER OF GENTILLY,LLC
Practice address
1995 Gentilly Blvd
C-14
New Orleans, LA 70119-1700
Phone
(504) 304-5151
Fax
(504) 702-5994
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Dr. Stephen C Brower, DC
Title
Clinic Director
Phone
(504) 304-5151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1041 LA Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 024904 LA

Addresses

Primary practice location

1995 Gentilly Blvd
C-14
New Orleans, LA 70119-1700

Mailing address

1995 Gentilly Blvd
C-14
New Orleans, LA 70119-1700
Phone (504) 304-5151

National Provider Directory

National Provider Directory

Locations

1995 Gentilly Blvd
#C14
New Orleans, LA 70119
Phone (504) 304-5151

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1386010213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 GENTILLY BLVD",
            "address_2": "C-14",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701191700",
            "telephone_number": "504-304-5151",
            "fax_number": "504-702-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 GENTILLY BLVD",
            "address_2": "C-14",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701191700",
            "telephone_number": "504-304-5151",
            "fax_number": "504-702-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHAB ACCIDENT INJURY CENTER OF GENTILLY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "504-304-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1041",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "024904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.