Individual provider Active NPI

Brytani Brady Laird, DC

  • Chiropractor
  • Youngsville, LA
National Provider Identifier
1407383235
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1792 Issued in LA
Practice address
2480 Youngsville Hwy Ste a
Youngsville, LA 70592-6389
Phone
(337) 453-4380
Fax
(337) 340-9391
NPI assigned
May 11, 2017
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1792 LA Primary
Pediatric Chiropractor 111NP0017X 1792 LA

Addresses

Primary practice location

2480 Youngsville Hwy Ste a
Youngsville, LA 70592-6389

Mailing address

2480 Youngsville Hwy Ste a
Youngsville, LA 70592-6389
Phone (337) 453-4380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210210001017 LA Practitioner - Chiropractic 1658786348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2480 Youngsville Hwy
Suite a
Youngsville, LA 70592-6389
Phone (337) 453-4380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1792LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Family Chiropractic Chiropractor CurrentSince Jan 28, 2021 Accepting new patients

Locations

803 S Morgan Ave
Broussard, LA 70518
Phone (337) 453-4346

2480 Youngsville Hwy
Ste A
Youngsville, LA 70592
Phone (228) 216-4927

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1407383235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 YOUNGSVILLE HWY STE A",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926389",
            "telephone_number": "337-453-4380",
            "fax_number": "337-340-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 YOUNGSVILLE HWY STE A",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926389",
            "telephone_number": "337-453-4380",
            "fax_number": "337-340-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "BRYTANI",
        "middle_name": "BRADY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1792",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "LA",
            "license": "1792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.