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DR. JEREMY BROUSSARD D.C.
NPI 1003294919
Chiropractor in New Iberia, LA

Active since May 12, 2015
612 RUE DE ONETTA, NEW IBERIA, LA 70563(337) 367-6649 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jeremy Broussard D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY BROUSSARD D.C. (NPI 1003294919) is an individual chiropractor in New Iberia, Louisiana, licensed in Louisiana (1741) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1003294919
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEREMY BROUSSARDCredential: D.C.
Location Address612 RUE DE ONETTANew Iberia, LA 70563-2163
Mailing Address612 Rue De OnettaNew Iberia, LA 70563 · (337) 367-6649
Phone(337) 367-6649
Sole ProprietorNo
Enumeration DateMay 12, 2015
✔ NPI 1003294919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in LA · 1741
Definition
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.
612 RUE DE ONETTA, New Iberia, LA 70563
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Broussard D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Jeremy Broussard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virgil Bryant Management
2.1 mi
Chiropractor
800 W MAIN ST
New Iberia, LA 70560
  • Reassigned Medicare billing, Louisiana enrollment
  • 4 clinicians in this Medicare group
NPI 1609186626 (337) 367-2567
Bryant Medical Group LLC
2.1 mi
General Practice
800 W MAIN ST
New Iberia, LA 70560
  • Reassigned Medicare billing, Louisiana enrollment
  • 8 clinicians in this Medicare group
NPI 1184112450 (337) 367-2567
Dickinson Chiropractic LLC
60 mi
Clinic/Center
516 N RANGE AVE
Denham Springs, LA 70726
  • Reassigned Medicare billing, Louisiana enrollment
  • 5 clinicians in this Medicare group
NPI 1083338206 (225) 665-3969

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TINA M THERIOT DC
Chiropractor
612 RUE DE ONETTA
NEW IBERIA, LA 70563
Iberia Parish (337) 367-6649
DR. GABRIELLE ELISE DERISE DC
Chiropractor
612 RUE DE ONETTA
NEW IBERIA, LA 70563
Iberia Parish (337) 367-6649
THERIOT FAMILY CHIROPRACTIC CENTER
Chiropractor
612 RUE DE ONETTA
NEW IBERIA, LA 70563
Iberia Parish (337) 367-6649

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Broussard's NPI number?

The NPI number for Jeremy Broussard is 1003294919. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Jeremy Broussard located?

Jeremy Broussard practices at 612 Rue De Onetta, New Iberia, LA 70563. The listed phone number is (337) 367-6649.

What is Jeremy Broussard's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jeremy Broussard enrolled in Medicare?

Yes. Jeremy Broussard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeremy Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Broussard reassigns Medicare benefits to 3 organizations: Virgil Bryant Management (New Iberia, LA), Bryant Medical Group LLC (New Iberia, LA) and Dickinson Chiropractic LLC (Denham Springs, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy Broussard was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.