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BRODERICK CHIROPRACTIC CENTER
NPI 1184028490
Chiropractor in Elkhart, IN

Active since October 15, 2014
1424 JOHNSON ST, ELKHART, IN 46514(574) 264-4151(574) 262-9891 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broderick Chiropractic Center NPPES

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

BRODERICK CHIROPRACTIC CENTER (NPI 1184028490) is a healthcare organization registered as a chiropractor in Elkhart, Indiana and active in the NPI registry since October 2014. The organization lists Susan A Broderick, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184028490
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBRODERICK CHIROPRACTIC CENTER
Location Address1424 JOHNSON STElkhart, IN 46514-3404
Mailing Address1424 Johnson StElkhart, IN 46514-3404 · (574) 264-4151 · Fax (574) 262-9891
Phone(574) 264-4151
Fax(574) 262-9891
Organization SubpartNo
Authorized OfficialSusan A BroderickOffice Manager · (574) 264-4151
Enumeration DateOctober 15, 2014
✔ NPI 1184028490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in IN · 08000723A✔ Licensed in IN · 08000306A
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.
1424 JOHNSON ST, Elkhart, IN 46514
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Other Identifiers 8

Medicare PIN225920IN
Medicaid100203690AIN
Medicare UPINU29275IN
Other000000084724IN · Blue Cross
Other000000112128IN · Blue Cross
Medicaid100112520AIN
Medicare UPINU29276IN
Medicare PIN222980IN

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERALD R BRODERICK D.C.
Chiropractor
1424 JOHNSON ST
ELKHART, IN 46514
Elkhart County (574) 264-4151

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 Broderick Chiropractic Center's NPI number?

The NPI number for Broderick Chiropractic Center is 1184028490. It was assigned to this organization in the NPPES registry on October 15, 2014.

Where is Broderick Chiropractic Center located?

Broderick Chiropractic Center is located at 1424 Johnson St, Elkhart, IN 46514. The listed phone number is (574) 264-4151.

What is Broderick Chiropractic Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Broderick Chiropractic Center was last updated on October 15, 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.