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RUSSELL DAVID BROCCOLI DC
NPI 1689740607
Chiropractor in Providence, RI

Active since November 28, 2006
635 HOPE STREET, PROVIDENCE, RI 02906(401) 351-6390(401) 331-0614 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Russell David Broccoli Dc NPPES

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

RUSSELL DAVID BROCCOLI DC (NPI 1689740607) is an individual chiropractor in Providence, Rhode Island, licensed in Rhode Island (DCP00204) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1689740607
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRUSSELL DAVID BROCCOLICredential: DC
Location Address635 HOPE STREETProvidence, RI 02906
Mailing Address635 Hope StreetProvidence, RI 02906 · (401) 351-6390 · Fax (401) 331-0614
Phone(401) 351-6390
Fax(401) 331-0614
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689740607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in RI · DCP00204
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.

635 HOPE STREET, Providence, RI 02906
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Other Identifiers 2

Other204088RI · Blue Chip
Other90476RI · Bcbs

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 Russell Broccoli's NPI number?

The NPI number for Russell Broccoli is 1689740607. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Russell Broccoli located?

Russell Broccoli practices at 635 Hope Street, Providence, RI 02906. The listed phone number is (401) 351-6390.

What is Russell Broccoli'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 Russell Broccoli was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.