Jerald R. Broderick, D.C.
Chiropractor · Elkhart, IN
Practice location
1424 Johnson StElkhart, IN 46514-3404
- Phone
- (574) 264-4151
- Fax
- (574) 262-9891
NPI record
- NPI
- 1518923945
- Entity type
- Individual (Type 1)
- Enumeration date
- April 25, 2006
- Last updated
- March 16, 2010
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
306 | IN |
About Dr. Broderick
Jerald R. Broderick, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1424 Johnson St, Elkhart, IN 46514-3404. The NPI number 1518923945 was assigned on April 25, 2006 and the record was last updated on March 16, 2010.
Dr. Broderick lists a license in the registry: #306 (IN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jerald R. Broderick, D.C.?
The NPI number is 1518923945.
What is the phone number of Dr. Broderick?
The phone number listed for the practice location is (574) 264-4151.
Where is Dr. Broderick located?
1424 Johnson St, Elkhart, IN 46514-3404.
What is the taxonomy code for Dr. Broderick?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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