BRODBECK CHIROPRACTIC
NPI 1649514969
Clinic/Center in Wading River, NY
About Brodbeck Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRODBECK CHIROPRACTIC (NPI 1649514969) is a healthcare organization registered as a clinic/center in Wading River, New York and active in the NPI registry since November 2012. The organization lists Jon N Brodbeck, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brodbeck Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Brodbeck Chiropractic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 J N Brodbeck Dc PLLC's NPI number?
The NPI number for J N Brodbeck Dc PLLC is 1649514969. It was assigned to this organization in the NPPES registry on November 27, 2012. The provider is doing business as Brodbeck Chiropractic.
Where is J N Brodbeck Dc PLLC located?
J N Brodbeck Dc PLLC is located at 5976 Route 25A, Wading River, NY 11792. The listed phone number is (631) 345-3035.
What is J N Brodbeck Dc PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is J N Brodbeck Dc PLLC enrolled in Medicare?
Yes. J N Brodbeck Dc PLLC is registered in the Medicare PECOS enrollment system.
When is J N Brodbeck Dc PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through J N Brodbeck Dc PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to J N Brodbeck Dc PLLC, in Chiropractic and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for J N Brodbeck Dc PLLC was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Brodbeck Chiropractic · NPI 1649514969
Clinic/Center organization in Wading River, New York. Organization record, active in the CMS NPPES registry since November 27, 2012.
## Identity
- **NPI:** 1649514969 (Entity type: Organization)
- **Enumerated:** November 27, 2012
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** J N Brodbeck Dc Pllc
- **Organization subpart:** No
- **Authorized official:** Jon Brodbeck, CHIROPRACTOR
## Practice location
- **Address:** 5976 ROUTE 25A, Wading River, NY 11792-2001
- **Phone:** (631) 345-3035 · **Fax:** (631) 345-3244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649514969) · Data from the CMS NPPES public registry.