| Virgil Bryant Management | |
|
800 W Main St, New Iberia, LA 70560-3536 | |
| (337) 367-2567 | |
| (337) 367-2578 |
| Full Name | Virgil Bryant Management |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 800 W Main St, New Iberia, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609186626 | NPI | - | NPPES |
| 1548237001 | Other | LA | BLUE CROSS BLUE SHILED OF LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 155 (Louisiana) | Primary |
| Provider Name | Michael W Fontenot |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225455843 PECOS PAC ID: 6103144589 Enrollment ID: I20150415000555 |
| Provider Name | Kris Frankenberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194800730 PECOS PAC ID: 0143111351 Enrollment ID: I20190115000828 |
| Provider Name | Jeremy A Broussard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003294919 PECOS PAC ID: 7315379070 Enrollment ID: I20191118002881 |
| Provider Name | Amber D Bloom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770906182 PECOS PAC ID: 2567844426 Enrollment ID: I20220809002427 |
| Provider Name | Beau Lejeune |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306844253 PECOS PAC ID: 8921137753 Enrollment ID: I20230107000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Virgil Bryant Management 800 W Main St, New Iberia, LA 70560-3536 Ph: (337) 367-2567 | Virgil Bryant Management 800 W Main St, New Iberia, LA 70560-3536 Ph: (337) 367-2567 |
Dr. Jeremy Broussard, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 612 Rue De Onetta, New Iberia, LA 70563 Phone: 337-367-6649 | |
Dr. Jake M Gary, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1833 E Main St, New Iberia, LA 70560 Phone: 337-367-7463 Fax: 337-367-7461 | |
Mr. Timothy John Rose, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 405 N Lewis St, New Iberia, LA 70563 Phone: 337-364-2225 | |
Darby Chiropractic Apc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 221 N Lewis St, New Iberia, LA 70563 Phone: 337-364-6543 Fax: 337-364-6564 | |
Dr. Tony Lee Oberle, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 715 N Lewis St, Suite A, New Iberia, LA 70563 Phone: 337-364-6552 | |
Dr. Michael Wayne Fontenot Jr., D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 800 W Main St, New Iberia, LA 70560 Phone: 337-367-2567 | |
Dr. Tina M Theriot, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 612 Rue De Onetta, New Iberia, LA 70563 Phone: 337-367-6649 Fax: 888-354-5793 |