UNDERWOOD UNDERWOOD LLC (NPI# 1073689881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073689881 |
| Entity Type | Organization |
| Organization Name | UNDERWOOD UNDERWOOD LLC |
| Other Organization Name | UNDERWOOD CHIROPRACTIC CLINIC |
| Practice Address |
11851 Coursey Blvd Suite A Baton Rouge LA 70816 |
| Practice Telephone | 2252931700 |
| Practice Fax Number | 2252931774 |
| Mailing Telephone | 2252931700 |
| Mailing Fax Number | 2252931774 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-11-18 |
| Authorized Official Name | DR. BRENT C UNDERWOOD (PHYSICIAN) |
| Authorized Official Telephone | 2252931700 |
| Authorized Official Credential | DC CCSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 304 | LA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 1160 | LA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS | G3179 | 01 |
| LA | BLUE CROSS | G3181 | 01 |
| Other Name | Type Code |
|---|---|
| Underwood Chiropractic Clinic | Other Name - Individual/Organization |
| Street Address |
11851 COURSEY BLVD SUITE A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| 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 |
|---|---|---|---|---|
| 1588209464 | Resilient Chiropractic LLC | Chiropractor | 18291 Highland Rd, Baton Rouge, LA 70810-3933 | 2019-11-14 |
| 1629638911 | Debrah Lee O'hara | Chiropractor | 18291 Highland Rd Ste 105, Baton Rouge, LA 70810-3934 | 2019-06-18 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1649792318 | Dynamic Performance Chiropractic of Baton Rouge | Chiropractor | 5151 Plank Rd Ste 220, Baton Rouge, LA 70805-3501 | 2017-07-13 |
| 1013360536 | Bone and Joint Spine Treatment Center LLC | Chiropractor | 6160 Perkins Rd Ste 130, Baton Rouge, LA 70808-4191 | 2016-07-20 |
| 1346657624 | Rebekah Gagnard Bruner | Chiropractor | 4700 Millwood Dr. #77559, Baton Rouge, LA 70879-7559 | 2014-07-17 |
| 1730590142 | Wulff, LLC | Chiropractor | 9422 Common St Unit 1, Baton Rouge, LA 70809-8408 | 2014-05-20 |
| 1205176922 | John Spencer Jr. | Chiropractor | 8620 Scotland Ave, Baton Rouge, LA 70807-4617 | 2013-02-15 |
| 1750649059 | Joseph Lucian Pritchett Iv | Chiropractor | 1107 Government St, Baton Rouge, LA 70802-4838 | 2012-04-25 |
| 1356622278 | Leblanc Family Chiropractic, LLC | Chiropractor | 11019 Perkins Rd, Suite B, Baton Rouge, LA 70810-3008 | 2011-09-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
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| 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.