Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRUCE L BROADRICK JR. PHARMD., LPC
NPI 1841259710
Counselor - Professional in Dalton, GA

Active since March 20, 2006
1904 SHIELDS RD STE B, DALTON, GA 30720(706) 250-0804 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Jul 10, 2026, Sep 21, 2021 (3 updates tracked since 2021).

About Dr. Bruce L Broadrick Jr. Pharmd., Lpc NPPES

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

DR. BRUCE L BROADRICK JR. PHARMD., LPC (NPI 1841259710) is an individual professional provider in Dalton, Georgia, licensed in Georgia (LPC011947) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1841259710
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. BRUCE L BROADRICK JR.Credential: PHARMD., LPC
Location Address1904 SHIELDS RD STE BDalton, GA 30720-5064
Mailing Address975 Poplar Springs Rd NwDalton, GA 30720-7091 · (706) 217-8711
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1841259710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in GA · LPC011947 Licensed in TN · 4163
Also ListedPharmacistTaxonomy 183500000X · License RPH022581 (GA)
1904 SHIELDS RD STE B, Dalton, GA 30720

Other Providers at the Same Location NPPES

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

Counselor (Professional)
1904 SHIELDS RD STE B
DALTON, GA 30720

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 Bruce Broadrick's NPI number?

The NPI number for Bruce Broadrick is 1841259710. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Bruce Broadrick located?

Bruce Broadrick practices at 1904 Shields Rd Ste B, Dalton, GA 30720. The listed phone number is (706) 250-0804.

What is Bruce Broadrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Bruce Broadrick was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.