| Brignac Physical Therapy, Llc | |
| 
					1732 Deroche Circle Suite B Gramercy LA 70052  | |
| (225) 869-0389 | |
| (225) 869-0271 | 
| Full Name | Brignac Physical Therapy, Llc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1732 Deroche Circle, Gramercy, Louisiana | 
| Authorized Official Name and Position | Chantel Brignac (PHYSICAL THERAPIST / OWNER) | 
| Authorized Official Contact | 2258690389 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brignac Physical Therapy, Llc 1732 Deroche Circle Suite B Gramercy LA 70052 Ph: (225) 869-0389  | Brignac Physical Therapy, Llc 1732 Deroche Circle Suite B Gramercy LA 70052 Ph: (225) 869-0389  | 
| NPI Number | 1811049356 | 
|---|---|
| Provider Enumeration Date | 01/17/2007 | 
| Last Update Date | 11/30/2015 | 
| Medicare PECOS PAC ID | 6002867330 | 
|---|---|
| Medicare Enrollment ID | O20050203000833 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811049356 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (Louisiana) | Primary | 
| Provider Name | Chantel Brignac | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1184775603 PECOS PAC ID: 4183774730 Enrollment ID: I20110104000972  | 
St. James Primary Care (apmc) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 827 Pine St, Gramercy, LA 70052 Phone: 225-869-9200 Fax: 225-869-9241  | |
St. James Primary Care, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 827 N Pine St, Gramercy, LA 70052 Phone: 225-869-9200  | |
Teche Action Board, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 827 N Pine St, Gramercy, LA 70052 Phone: 337-828-2550 Fax: 337-355-2333  |