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TIMOTHY ONEAL BROADDRICK DC
NPI 1417038316
Chiropractor in Brookfield, WI

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: October 25, 2026.

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 Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Broaddrick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.
5.6 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650
Aurora Advanced Healthcare, Inc.
12 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MIKAL SHANKEY
Pediatrics
16985 W BLUEMOUND RD
BROOKFIELD, WI 53005
Waukesha County (262) 641-8400
AMY MARIE RIDER M.D.
Obstetrics & Gynecology
16985 W BLUEMOUND RD
BROOKFIELD, WI 53005
Waukesha County (262) 641-8400
STEPHANIE MARIE STROHBEEN
Internal Medicine
16985 W BLUEMOUND RD
BROOKFIELD, WI 53005
Waukesha County (262) 641-8400
GINA PAOLA GALINDO M.D.
Family Medicine
16985 W BLUEMOUND RD
BROOKFIELD, WI 53005
Waukesha County (262) 641-8400
MR. ROBERT W REINKE ATC
Specialist/Technologist (Athletic Trainer)
16985 W BLUEMOUND RD
BROOKFIELD, WI 53005
Waukesha County (262) 821-4460
MRS. JAMIE LEIGH CARLSON
Physical Therapist
16985 W BLUEMOUND RD
BROOKFIELD, WI 53005
Waukesha County (262) 821-4460
MS. LYNNE A GUINTHER LMFT
Marriage & Family Therapist
16985 W BLUEMOUND RD
BROOKFIELD, WI 53005
Waukesha County (414) 773-4312
DEBORAH L KIM MD
Pediatrics
16985 W BLUEMOUND RD
BROOKFIELD, WI 53005
Waukesha County (262) 641-8400

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 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.

Where is Timothy Broaddrick located?

Timothy Broaddrick practices at 16985 W Bluemound Rd, Brookfield, WI 53005. The listed phone number is (262) 641-8400.

What is Timothy Broaddrick's specialty?

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

Is Timothy Broaddrick enrolled in Medicare?

Yes. Timothy Broaddrick 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.

Which organizations bill Medicare for Timothy Broaddrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Broaddrick reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (West Allis, WI) and Aurora Advanced Healthcare, Inc. (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Broaddrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Broaddrick accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Timothy Broaddrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Broaddrick was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.