Aloysius M Broussard, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104-557210 Issued in VA

Practice address

44121 Harry Byrd Hwy
Ste 125
Ashburn, VA 20147-5667

Phone

(703) 723-0000

NPI assigned

Nov 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ashburn Chiropractic & Rehab Center, P.C.

  • Chiropractor
  • Ashburn, VA
  • NPI 1356632863
  Medicare reassignment NPD

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1851797518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44121 HARRY BYRD HWY",
            "address_2": "STE 125",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475667",
            "telephone_number": "703-723-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44121 HARRY BYRD HWY",
            "address_2": "STE 125",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475667",
            "telephone_number": "703-723-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "ALOYSIUS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliet Brisbane
• Broadway Home Healthcare Inc
• Edith Lynne Brokaw, LCSW, CSAC
• Arthur Clarence Bronsord, P.T.
• Matthew Brooks, REGISTERED ART THERA
• Jared Roger Brown, DPT
• Michael Joseph Brown, M.D.
• Nicole Sheena Brown, RN
• Sarah Kittredge Brown, FNP
• Ann Brubaker, RD

• Chiropractor in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.