NICHOLAS BROBERG
NPI 1174920540
Case Manager/Care Coordinator in Fayetteville, AR

Q: What is Nicholas Broberg's NPI number?

The NPI number for Nicholas Broberg is 1174920540. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Q: What is Nicholas Broberg's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Broberg was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 01, 2014

2153 E. JOYCE BLVD, FAYETTEVILLE, AR 72703(479) 575-9471 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicholas Broberg NPPES

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

NICHOLAS BROBERG (NPI 1174920540) is an individual case manager/care coordinator provider in Fayetteville, Arkansas and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1174920540

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameNICHOLAS BROBERG

Location Address2153 E. JOYCE BLVDFayetteville, AR 72703

Mailing Address1044 N Monitor RdSpringdale, AR 72764

Phone(479) 575-9471

Sole ProprietorNo

Enumeration DateDecember 1, 2014

✔ NPI 1174920540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2153 E. JOYCE BLVD, Fayetteville, AR 72703

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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 Nicholas Broberg's NPI number?

The NPI number for Nicholas Broberg is 1174920540. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Where is Nicholas Broberg located?

Nicholas Broberg practices at 2153 E. Joyce Blvd, Fayetteville, AR 72703. The listed phone number is (479) 575-9471.

What is Nicholas Broberg's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Broberg was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.