NPIMap

Organization Active NPI

Louisiana Brain Injury Specialists, LLC

  • Neurology Physician
  • Lafayette, LA
National Provider Identifier
1912870924
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
LOUISIANA BRAIN INJURY SPECIALISTS, LLC
Practice address
401 E Verot School Rd
Lafayette, LA 70508-3315
Phone
(337) 232-3353
NPI assigned
Sep 25, 2025
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Dr. Jacob Scott Clark, DCNPI 1003864620
Title
Owner
Phone
(337) 849-4140

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
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

401 E Verot School Rd
Lafayette, LA 70508-3315

Mailing address

401 E Verot School Rd
Lafayette, LA 70508-3315
Phone (337) 232-3353

National Provider Directory

National Provider Directory

Locations

401 E Verot School Rd
Lafayette, LA 70508
Phone (337) 232-3353

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1912870924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E VEROT SCHOOL RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083315",
            "telephone_number": "337-232-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E VEROT SCHOOL RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083315",
            "telephone_number": "337-232-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA BRAIN INJURY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-849-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.