BRODERICK CHIROPRACTIC CENTER NPI 1184028490

NPI Information

  • NPI: 1184028490
  • Provider Name: BRODERICK CHIROPRACTIC CENTER
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 1424 JOHNSON ST
    ELKHART, IN
    ZIP 46514
  • Phone: (574) 264-4151

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NPI Details

BRODERICK CHIROPRACTIC CENTER is a chiropractor in Elkhart, IN. The provider is 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. BRODERICK CHIROPRACTIC CENTER NPI is 1184028490. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1424 JOHNSON ST
ELKHART, IN
ZIP 46514-404
Phone: (574) 264-4151
Fax: (574) 262-9891

The provider's authorized official is Susan A Broderick .
The authorized official title is Office Manager and has the following contact phone number (574) 264-4151.

The enumeration date for this NPI number is 10/15/2014 and was last updated on 10/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor08000306AINDIANANo
2111N00000XChiropractor08000723AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1225920MEDICARE PININDIANA
2100203690AMEDICAIDINDIANA
3U29275MEDICARE UPININDIANA
4000000084724OTHERINDIANABLUE CROSS
5000000112128OTHERINDIANABLUE CROSS
6100112520AMEDICAIDINDIANA
7U29276MEDICARE UPININDIANA
8222980MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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