Rise Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RISE CHIROPRACTIC, LLC

Practice address

817 Albertson Pkwy Ste N
Broussard, LA 70518-5261

Phone

(337) 324-3031

NPI assigned

Mar 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brennon Kelly, DCNPI 1023511680

Title

Owner/Doctor

Phone

(337) 324-3031

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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

• Brennon H Kelly, DC

  • Chiropractor
  • Broussard, LA
  • NPI 1023511680
  Medicare reassignment Care Compare group NPD Authorized official
• Holden Linn, DC

  • Chiropractor
  • Broussard, LA
  • NPI 1740954122
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780188169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 ALBERTSON PKWY STE N",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185261",
            "telephone_number": "337-324-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 ALBERTSON PKWY STE N",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185261",
            "telephone_number": "337-324-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BRENNON",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "337-324-3031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Broussard, LA
• Providers in Broussard, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.