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DR. BRANDON MATTHEW BROADUS D.C.
NPI 1053630467
Chiropractor in Mandeville, LA

Active since May 25, 2010Accepts Medicare Assignment
102 FONTAINBLEAU DR # D1, MANDEVILLE, LA 70471(985) 400-5300(985) 400-5301 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2021, Nov 15, 2019 (2 updates tracked since 2019).

About Dr. Brandon Matthew Broadus D.c. NPPES

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

DR. BRANDON MATTHEW BROADUS D.C. (NPI 1053630467) is an individual chiropractor in Mandeville, Louisiana, licensed in Louisiana (1535) and active in the NPI registry since May 2010. He is a graduate of Other (2009).

NPPES Registry Identity

NPI1053630467
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRANDON MATTHEW BROADUSCredential: D.C.
Location Address102 FONTAINBLEAU DR # D1Mandeville, LA 70471-6518
Mailing Address102 Fontainbleau Dr # D1Mandeville, LA 70471-6518 · (985) 789-1720
Phone(985) 400-5300
Fax(985) 400-5301
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 25, 2010
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1053630467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in LA · 1535
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.
102 FONTAINBLEAU DR # D1, Mandeville, LA 70471
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brandon Matthew Broadus D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436391471
PECOS Enrollment IDI20130805000814

Medicare Billing Reassignment

Medicare enrollment records show Brandon Broadus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Broadus Chiropractic Services, LLC
Same address
Chiropractor
102 FONTAINBLEAU DR # D1
Mandeville, LA 70471
  • Reassigned Medicare billing, Louisiana enrollment
  • 6 clinicians in this Medicare group
NPI 1578909206 (985) 400-5300

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.

TAYLOR ELIZABETH RUPPERT DC
Chiropractor
102 FONTAINBLEAU DR # D1
MANDEVILLE, LA 70471
St. Tammany Parish (985) 789-1720
MISS ERIN PAIGE DEFATTA DC
Chiropractor
102 FONTAINBLEAU DR # D1
MANDEVILLE, LA 70471
St. Tammany Parish (985) 400-5300
BROADUS CHIROPRACTIC SERVICES, LLC
Chiropractor
102 FONTAINBLEAU DR # D1
MANDEVILLE, LA 70471
St. Tammany Parish (985) 400-5300

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 Brandon Broadus's NPI number?

The NPI number for Brandon Broadus is 1053630467. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Brandon Broadus located?

Brandon Broadus practices at 102 Fontainbleau Dr # D1, Mandeville, LA 70471. The listed phone number is (985) 400-5300.

What is Brandon Broadus's specialty?

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

Is Brandon Broadus enrolled in Medicare?

Yes. Brandon Broadus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brandon Broadus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Broadus reassigns Medicare benefits to Broadus Chiropractic Services, LLC (Mandeville, LA). The 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 Brandon Broadus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Broadus accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Brandon Broadus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon Broadus was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.