Individual provider Active NPI

Eryn McCall Brown, DC

  • Chiropractor
  • Mandeville, LA
National Provider Identifier
1700350709
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1997 Issued in LA
Practice address
4880 La-22
Suite a
Mandeville, LA 70471-6798
Phone
(903) 717-1188
Fax
(985) 792-7129
NPI assigned
Jan 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 14006 TX
Chiropractor 111N00000X 1997 LA Primary

Addresses

Primary practice location

4880 La-22
Suite a
Mandeville, LA 70471-6798

Mailing address

100 Willow Creek Pkwy Ste C
Palestine, TX 75801-4387
Phone (903) 729-5051

Other names 1

  • Dr. Eryn McCall Braddock Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205000225 LA Practitioner - Chiropractic 8921346487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14006TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Chiropractic and Wellness, LLC Single Specialty CurrentSince Nov 25, 2024 Accepting new patients

Locations

4880 Highway 22
#A
Mandeville, LA 70471
Phone (903) 717-1188

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1700350709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLOW CREEK PKWY STE C",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014387",
            "telephone_number": "903-729-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 LA-22",
            "address_2": "SUITE A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716798",
            "telephone_number": "903-717-1188",
            "fax_number": "985-792-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ERYN",
        "middle_name": "MCCALL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14006",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERYN",
            "last_name": "BRADDOCK",
            "middle_name": "MCCALL",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 31, 2024; 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.