Dr Sophie Brodeur LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2399 Issued in OH

Legal business name

DR SOPHIE BRODEUR LLC

Practice address

4226 Montgomery Rd
Cincinnati, OH 45212

Phone

(513) 531-2277

Fax

(513) 531-2278

NPI assigned

Jun 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sophie Brodeur, D.C

Title

Owner, D.C.

Phone

(513) 531-2277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Norwood Chiropractic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1013953553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45212",
            "telephone_number": "513-531-2277",
            "fax_number": "513-531-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45212",
            "telephone_number": "513-531-2277",
            "fax_number": "513-531-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SOPHIE BRODEUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BRODEUR",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "OWNER, D.C.",
        "authorized_official_telephone_number": "513-531-2277",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039985",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norwood Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.