NPI 1053630467

Brandon Matthew Broadus, DC

Practitioner Chiropractor Mandeville, LA

Practice location

Address: 102 Fontainbleau Dr # D1, Mandeville, LA 70471-6518
Phone: (985) 400-5300
Fax: (985) 400-5301

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 1535 (LA)

Other Chiropractor providers in Louisiana →

Registry record

NPI: 1053630467
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2010
Record last updated: 17 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.