1. Home
  2. Directory
  3. Iowa
  4. Council Bluffs
  5. Chiropractor
  6. NPI Profile

BROADWAY CHIROPRACTIC CLINIC PC
NPI 1275755092
Chiropractor in Council Bluffs, IA

Active since May 02, 2007
103 N AVENUE, SUITE 4, COUNCIL BLUFFS, IA 51503(712) 322-8504(402) 614-5823 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Chiropractic Clinic Pc NPPES

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

BROADWAY CHIROPRACTIC CLINIC PC (NPI 1275755092) is a healthcare organization registered as a chiropractor in Council Bluffs, Iowa and active in the NPI registry since May 2007. The organization lists Deanna Jean Rogge, Owner, as its authorized official.

NPPES Registry Identity

NPI1275755092
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBROADWAY CHIROPRACTIC CLINIC PC
Location Address103 N AVENUE, SUITE 4Council Bluffs, IA 51503
Mailing Address103 N Avenue, Suite 4Council Bluffs, IA 51503 · (712) 322-8504 · Fax (402) 614-5823
Phone(712) 322-8504
Fax(402) 614-5823
Organization SubpartNo
Authorized OfficialDeanna Jean RoggeOwner · (712) 322-8504
Enumeration DateMay 2, 2007
Last NPPES UpdateOctober 2, 2013
✔ NPI 1275755092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · 04972
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.
103 N AVENUE, Council Bluffs, IA 51503
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified20218IA

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 SINGLE SPECIALTY GROUP

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 Broadway Chiropractic Clinic PC's NPI number?

The NPI number for Broadway Chiropractic Clinic PC is 1275755092. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Broadway Chiropractic Clinic PC located?

Broadway Chiropractic Clinic PC is located at 103 N Avenue Suite 4, Council Bluffs, IA 51503. The listed phone number is (712) 322-8504.

What is Broadway Chiropractic Clinic PC'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 Broadway Chiropractic Clinic PC was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.