GERRY G PROVANCE D.C.
NPI 1063555662
Chiropractor - Sports Physician in Metairie, LA

Active since February 14, 2007
2007 CLEARVIEW PKWY, METAIRIE, LA 70001(504) 456-9296(504) 456-9799 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerry G Provance D.c. NPPES

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

GERRY G PROVANCE D.C. (NPI 1063555662) is an individual sports physician in Metairie, Louisiana, licensed in Louisiana (414) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1063555662
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameGERRY G PROVANCECredential: D.C.
Location Address2007 CLEARVIEW PKWYMetairie, LA 70001-2404
Mailing Address2007 Clearview PkwyMetairie, LA 70001-2404 · (504) 456-9296 · Fax (504) 456-9799
Fax(504) 456-9799
Sole ProprietorNo
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063555662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License Licensed in LA · 414
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
2007 CLEARVIEW PKWY, Metairie, LA 70001

Other Identifiers 4

Medicare UPINT19890LA
OtherC8327LA · Blue Cross Id
Medicaid1951340LA
Medicare ID-Type Unspecified59038LA

Other Providers at the Same Location NPPES 7

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

Chiropractor
2007 CLEARVIEW PKWY
METAIRIE, LA 70001
Massage Therapist
2007 CLEARVIEW PKWY
METAIRIE, LA 70001
Chiropractor
2007 CLEARVIEW PKWY
METAIRIE, LA 70001
Chiropractor
2007 CLEARVIEW PKWY
METAIRIE, LA 70001
Chiropractor (Sports Physician)
2007 CLEARVIEW PKWY
METAIRIE, LA 70001
Chiropractor
2007 CLEARVIEW PKWY
METAIRIE, LA 70001
Massage Therapist
2007 CLEARVIEW PKWY
METAIRIE, LA 70001

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 Gerry Provance's NPI number?

The NPI number for Gerry Provance is 1063555662. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Gerry Provance located?

Gerry Provance practices at 2007 Clearview Pkwy, Metairie, LA 70001. The listed phone number is (504) 456-9296.

What is Gerry Provance's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for Gerry Provance was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.