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DR. BRODERRICK DARRELL KOOLMAN D.C
NPI 1972512424
Chiropractor in San Antonio, TX

Active since August 05, 2006
1213 BASSE RD, SAN ANTONIO, TX 78212(210) 735-0588(210) 735-3823 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Broderrick Darrell Koolman D.c NPPES

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

DR. BRODERRICK DARRELL KOOLMAN D.C (NPI 1972512424) is an individual chiropractor in San Antonio, Texas, licensed in Texas (DC5620) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1972512424
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRODERRICK DARRELL KOOLMANCredential: D.C
Location Address1213 BASSE RDSan Antonio, TX 78212-1007
Mailing AddressPo Box 34722San Antonio, TX 78265-4722 · (210) 735-0588 · Fax (210) 735-3823
Phone(210) 735-0588
Fax(210) 735-3823
Sole ProprietorYes
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972512424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · DC5620
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.
1213 BASSE RD, San Antonio, TX 78212
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Other Identifiers 1

Medicare UPINU38483TX

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 Broderrick Koolman's NPI number?

The NPI number for Broderrick Koolman is 1972512424. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Broderrick Koolman located?

Broderrick Koolman practices at 1213 Basse Rd, San Antonio, TX 78212. The listed phone number is (210) 735-0588.

What is Broderrick Koolman'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 Broderrick Koolman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.