Active NPI
Eryn McCall Brown, DC
- Chiropractor
- Mandeville, LA
National Provider Identifier
1700350709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1997
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14006 | TX | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Chiropractic and Wellness, LLC | Single Specialty | Current | 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.
-
- Primary Care Clinic/Center
- Mandeville, LA
- NPI 1437996725
Single Specialty
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.