Organization Active NPI

L G Breedlove, PLLC

Doing business as Larry G Breedlove, DC

  • Chiropractor
  • West Lake Hills, TX
National Provider Identifier
1891806618
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4064 Issued in TX
Legal business name
L G BREEDLOVE, PLLC
Doing business as
Larry G Breedlove, DC
Practice address
3839 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5990
Phone
(512) 327-2921
Fax
(000) 000-0000
NPI assigned
Aug 31, 2006
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Dr. Larry G Breedlove, DCNPI 1023140621
Title
Principal Officer
Phone
(512) 327-2921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4064 TX Primary

Addresses

Primary practice location

3839 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5990

Mailing address

3839 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5990
Phone (512) 327-2921

Other names 1

  • Larry G Breedlove, DC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140927000077 TX Part B Supplier - Clinic/Group Practice 8729208640 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

2525 Wallingwood Dr
Bldg 13A
Austin, TX 78746
Phone (512) 327-2921

3839 Bee Caves Rd
Ste 206
West Lake Hills, TX 78746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1891806618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 BEE CAVES RD STE 206",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465990",
            "telephone_number": "512-327-2921",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 BEE CAVES RD STE 206",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465990",
            "telephone_number": "512-327-2921",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L G BREEDLOVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "BREEDLOVE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "512-327-2921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larry G Breedlove, DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.