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NICHOLAS ANDREW BRODER DC
NPI 1225929151
Chiropractor in Howards Grove, WI

Active since July 10, 2025Accepts Medicare Assignment
516 S WISCONSIN DR, HOWARDS GROVE, WI 53083(920) 565-3922(920) 565-2142 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Andrew Broder Dc NPPES

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

NICHOLAS ANDREW BRODER DC (NPI 1225929151) is an individual chiropractor in Howards Grove, Wisconsin, licensed in Wisconsin (6324-12) and active in the NPI registry since July 2025. He is a graduate of Palmer College Chiropractic - Davenport (2025).

NPPES Registry Identity

NPI1225929151
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameNICHOLAS ANDREW BRODERCredential: DC
Location Address516 S WISCONSIN DRHowards Grove, WI 53083-1261
Mailing AddressN8420 State Road 57Elkhart Lake, WI 53020-2040 · (920) 207-7864
Phone(920) 565-3922
Fax(920) 565-2142
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2025
Enumeration DateJuly 10, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1225929151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 6324-12
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.
516 S WISCONSIN DR, Howards Grove, WI 53083
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Andrew Broder Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103325915
PECOS Enrollment IDI20250819001606

Other Providers at the Same Location NPPES 8

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

DR. GEORGE P. VARISH III D.C.
Chiropractor
516 S WISCONSIN DR
HOWARDS GROVE, WI 53083
Sheboygan County (920) 565-3922
DR. DAVID JOHN PORTMANN D.C.
Chiropractor
516 S WISCONSIN DR
HOWARDS GROVE, WI 53083
Sheboygan County (920) 565-3922
VARISH CHIROPRACTIC CLINICS, LLC
Chiropractor
516 S WISCONSIN DR
HOWARDS GROVE, WI 53083
Sheboygan County (920) 565-3922
DR. WENDY LC VARISH DC, FACO
Chiropractor
516 S WISCONSIN DR
HOWARDS GROVE, WI 53083
Sheboygan County (920) 565-3922
MICHELLE MARIE NOLAN-OLMSTED P.T.
Physical Therapist
516 S WISCONSIN DR
HOWARDS GROVE, WI 53083
Sheboygan County (920) 565-5391
DR. ERIK THOMAS BUTZEN D.C
Chiropractor
516 S WISCONSIN DR
HOWARDS GROVE, WI 53083
Sheboygan County (920) 565-3922
DR. MAKAYLA KAYTLYNN KULOW DC
Chiropractor
516 S WISCONSIN DR
HOWARDS GROVE, WI 53083
Sheboygan County (920) 565-3922
ZACHARY BROCKER D.C.
Chiropractor
516 S WISCONSIN DR
HOWARDS GROVE, WI 53083
Sheboygan County (920) 565-3922

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 Broder's NPI number?

The NPI number for Nicholas Broder is 1225929151. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Nicholas Broder located?

Nicholas Broder practices at 516 S Wisconsin Dr, Howards Grove, WI 53083. The listed phone number is (920) 565-3922.

What is Nicholas Broder's specialty?

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

Is Nicholas Broder enrolled in Medicare?

Yes. Nicholas Broder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicholas Broder was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.