Brandon Racca LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1678 Issued in LA

Legal business name

BRANDON RACCA LLC

Practice address

1210 E McNeese St
Lake Charles, LA 70607-4756

Phone

(337) 502-5303

Fax

(337) 479-2791

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Lee Racca, DCNPI 1578995221

Title

Owner/Chiropractor

Phone

(337) 502-5303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Center for Chiropractic and Rehabilitation Iowa, LLC

  • Chiropractor
  • Iowa, LA
  • NPI 1346119518

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Lee Racca, D.C.

  • Chiropractor
  • Lake Charles, LA
  • NPI 1578995221
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1497231633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074756",
            "telephone_number": "337-502-5303",
            "fax_number": "337-479-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074756",
            "telephone_number": "337-502-5303",
            "fax_number": "337-479-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON RACCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "RACCA",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "337-502-5303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chassity Bradford
• Precious S Bradford
• Erin Elizabeth Bradley
• James Michael Branch, DC
• Mekayla O Branche
• Brittany Brandon
• Kemoshia Brandon, NURSE PRACTITIONER
• Sotheary Brandon, CCC-SLP
• Kaitlyn Braquet
• Laura Lee M Brashear, PLPC

• Chiropractor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.