DR. JEREMY BROUSSARD (NPI# 1003294919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003294919 |
Entity Type | Individual |
Full Name | DR. JEREMY BROUSSARD |
Credential | D.C. |
Practice Address |
612 Rue De Onetta New Iberia LA 70563-2163 |
Mailing Address |
612 Rue De Onetta New Iberia LA 70563 |
Practice Telephone | 3373676649 |
Mailing Telephone | 3373676649 |
Enumeration Date | 2015-05-12 |
Last Update Date | 2015-05-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1741 | LA | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851619134 | Jeremy Heath Broussard | Counselor | 404 Pere Megret St, Abbeville, LA 70510-4634 | 2010-05-11 |
Street Address |
612 RUE DE ONETTA |
City | NEW IBERIA |
State | LA |
Zip Code | 70563-2163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275517047 | Tina M Theriot | Chiropractor | 612 Rue De Onetta, New Iberia, LA 70563-2163 | 2005-12-05 |
1902067457 | Theriot Family Chiropractic Center | Chiropractor | 612 Rue De Onetta, New Iberia, LA 70563-2163 | 2008-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932696812 | Check Point Urgent Care | Clinic/Center | 1108 Parkview Drive Suite A, New Iberia, LA 70563 | 2018-04-17 |
1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
1487956538 | Baker Suraj, Inc | Internal Medicine | 602 N. Lewis Ave., Suite 100, New Iberia, LA 70563 | 2010-11-23 |
1619174208 | Sleep Solutions of New Iberia, LLC | Clinic/Center | 1100 Andre St Ste 200b, New Iberia, LA 70563 | 2007-06-28 |
1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
1851441927 | Nancy Ann Schneider | Nurse Practitioner | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-11 |
1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
1518054709 | Southern Rx | Pharmacy | 1033 Andre St, New Iberia, LA 70563 | 2006-10-07 |
Find all providers in zip 70563 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033400585 | Jake M Gary | Chiropractor | 1000 Parkview Dr Ste 23, New Iberia, LA 70563-3225 | 2011-05-02 |
1326234642 | Neuromuscular Institute, LLC | Chiropractor | 917 Parkview Dr, Suite 4, New Iberia, LA 70563-3228 | 2007-09-20 |
1114146149 | Timothy John Rose | Chiropractor | 405 N Lewis St, New Iberia, LA 70563-2013 | 2007-04-25 |
1144315235 | Tony Lee Oberle | Chiropractor | 715 N Lewis St, Suite A, New Iberia, LA 70563-2019 | 2006-10-04 |
1275517047 | Tina M Theriot | Chiropractor | 612 Rue De Onetta, New Iberia, LA 70563-2163 | 2005-12-05 |
1497752521 | David Mark Darby | Chiropractor | 221 N Lewis St, New Iberia, LA 70563-2840 | 2005-07-05 |
1225455843 | Michael Wayne Fontenot Jr. | Chiropractor | 800 W Main St, New Iberia, LA 70560-3536 | 2014-03-20 |
1437416690 | Saul Shaye | Chiropractor | 800 W Main St, New Iberia, LA 70560-3536 | 2012-04-12 |
1609186626 | Virgil Bryant Management | Chiropractor | 800 W Main St, New Iberia, LA 70560-3536 | 2010-10-08 |
1902067457 | Theriot Family Chiropractic Center | Chiropractor | 612 Rue De Onetta, New Iberia, LA 70563-2163 | 2008-06-18 |
Find all providers in NEW IBERIA |
City | NEW IBERIA |
Zip Code | 70563 |
Please comment or provide details below to improve the information on DR. JEREMY BROUSSARD.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.