TIMOTHY ONEAL BROADDRICK DC
NPI 1417038316
Chiropractor in Brookfield, WI

Q: What is Timothy Broaddrick's NPI number?

The NPI number for Timothy Broaddrick is 1417038316. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Timothy Broaddrick's specialty?

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

Active since October 18, 2006Accepts Medicare Assignment

16985 W BLUEMOUND RD, BROOKFIELD, WI 53005(262) 641-8400 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timothy Oneal Broaddrick Dc NPPES

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

TIMOTHY ONEAL BROADDRICK DC (NPI 1417038316) is an individual chiropractor in Brookfield, Wisconsin, licensed in Wisconsin (2429-012) and active in the NPI registry since October 2006. He is a graduate of National College Of Chiropractic (1987).

NPPES Registry Identity

NPI1417038316

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameTIMOTHY ONEAL BROADDRICKCredential: DC

Location Address16985 W BLUEMOUND RDBrookfield, WI 53005-5909

Mailing Address3003 W Good Hope RdMilwaukee, WI 53209-2042 · (414) 352-3100

Phone(262) 641-8400

Sole ProprietorNo

Medical School CMSNational College Of ChiropracticGraduated 1987

Enumeration DateOctober 18, 2006

Last NPPES UpdateMay 31, 2024

NPPES CertifiedMay 31, 2024

✔ NPI 1417038316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WI · 2429-012

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.

16985 W BLUEMOUND RD, Brookfield, WI 53005

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Other Identifiers 1

Medicaid38951100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

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

Timothy Oneal Broaddrick 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 ID7810157500

PECOS Enrollment IDI20120404001007

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

107 services22 patients

Other Providers at the Same Location NPPES 20

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

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