BROADMOOR VALLEY WELLNESS CENTER, INC.
NPI 1164698510
Chiropractor in Colorado Springs, CO
NPI Status: Active since May 06, 2008
Contact Information
2993 BROADMOOR VALLEY RD
SUITE 105B
COLORADO SPRINGS, CO
ZIP 80906
Phone: (719) 268-1424
- Organization
- Chiropractor
- CLIA Number: 06D2263327
- CLIA Cert. Type: Other - ARENA
- CLIA Exp. Date: 06-26-2026
About BROADMOOR VALLEY WELLNESS CENTER, INC.
This page provides the complete NPI Profile along with additional information for Broadmoor Valley Wellness Center, Inc., a provider established in Colorado Springs, Colorado operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1164698510 assigned on May 2008. The practitioner's primary taxonomy code is 111N00000X with license number 5089 (CO). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Robert Neal Gottesman D.c. (President)
- NPI
- 1164698510
- Provider Name
- BROADMOOR VALLEY WELLNESS CENTER, INC.
- Entity Type
- Organization
- Location Address
- 2993 BROADMOOR VALLEY RD SUITE 105B COLORADO SPRINGS, CO 80906
- Location Phone
- (719) 268-1424
- Mailing Address
- 2993 BROADMOOR VALLEY RD SUITE 105B COLORADO SPRINGS, CO 80906
- Mailing Phone
- (719) 268-1424
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-06-2008
- Last Update Date
- 05-06-2008
- Code Navigator
A chiropractor like Broadmoor Valley Wellness Center, Inc. helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- 5089
- License State
- CO
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2263327
- Facility Type
- Other - ARENA
- Certificate Effective Date
- June 27, 2024
- Certificate Expiration Date
- June 26, 2026
- Laboratory Director
- TUESDAY L. HESLOP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Broadmoor Valley Wellness Center, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BROADMOOR VALLEY WELLNESS CENTER, INC.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 6 | 9 | 8 | 5 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 12 | 9 | 16 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 2 + 9 + 1 + 6 + 5 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1164698510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
DR. ROBERT NEAL GOTTESMAN D.C.
Chiropractor
2993 BROADMOOR VALLEY RD
SUITE 105B
COLORADO SPRINGS, CO
ZIP 80906
SAFESIDE COUNSELING, LLC
Clinic/Center
(Mental Health (Including Community Mental Health Center))
2993 BROADMOOR VALLEY RD
SUITE 105C
COLORADO SPRINGS, CO
ZIP 80906
ADRIENNE KATHY MONDRAGON LSW
Social Worker
(Clinical)
2993 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO
ZIP 80906
CARA MALNATI DOMER MSN, PMHNP
Nurse Practitioner
(Psychiatric/Mental Health)
2993 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO
ZIP 80906
MRS. QUINDA C SMITH MSW, LSW
Social Worker
(Clinical)
2993 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO
ZIP 80906
DR. SCOTT J TUSHLA MD
Family Medicine
2993 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO
ZIP 80906
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164698510, enumerated as an "organization" on May 06, 2008.
The provider is located at 2993 BROADMOOR VALLEY RD SUITE 105B COLORADO SPRINGS, CO 80906 and the phone number is (719) 268-1424.
Chiropractor with taxonomy code 111N00000X.
