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BROAD AXE CHIROPRACTIC CENTER
NPI 1013103993
Chiropractor in Blue Bell, PA

Active since September 24, 2007
914 SKIPPACK PIKE, BLUE BELL, PA 19422(215) 540-0776(215) 570-9022 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Broad Axe Chiropractic Center NPPES

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

BROAD AXE CHIROPRACTIC CENTER (NPI 1013103993) is a healthcare organization registered as a chiropractor in Blue Bell, Pennsylvania and active in the NPI registry since September 2007. The organization lists Marie Winans, Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1013103993
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBROAD AXE CHIROPRACTIC CENTER
Location Address914 SKIPPACK PIKEBlue Bell, PA 19422-1535
Mailing Address914 Skippack PikeBlue Bell, PA 19422-1535 · (215) 540-0776 · Fax (215) 570-9022
Phone(215) 540-0776
Fax(215) 570-9022
Organization SubpartNo
Authorized OfficialMarie WinansOffice Mgr · (215) 540-0776
Enumeration DateSeptember 24, 2007
Last NPPES UpdateMay 24, 2023
NPPES CertifiedMay 24, 2023
✔ NPI 1013103993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC003375L
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.
914 SKIPPACK PIKE, Blue Bell, PA 19422
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broad Axe Chiropractic Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Broad Axe Chiropractic Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Patricia Bona Kustra, D.C.
Chiropractic
NPI 1851346290
914 SKIPPACK PIKE
Blue Bell, PA 19422
(215) 540-0776
✔ Accepts MedicareSame address
Robert Kustra, DC
Chiropractic
NPI 1518906668
914 SKIPPACK PIKE
Blue Bell, PA 19422
(215) 540-0776
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Broad Axe Chiropractic Center's NPI number?

The NPI number for Broad Axe Chiropractic Center is 1013103993. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Broad Axe Chiropractic Center located?

Broad Axe Chiropractic Center is located at 914 Skippack Pike, Blue Bell, PA 19422. The listed phone number is (215) 540-0776.

What is Broad Axe Chiropractic Center's specialty?

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

Is Broad Axe Chiropractic Center enrolled in Medicare?

Yes. Broad Axe Chiropractic Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broad Axe Chiropractic Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Broad Axe Chiropractic Center. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Broad Axe Chiropractic Center was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.