Brodie Welch, L.Ac., LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AC-00744 Issued in OR

Legal business name

BRODIE WELCH, L.AC., LLC

Practice address

534 NW 4TH St
Corvallis, OR 97330-6411

Phone

(541) 757-4868

NPI assigned

Mar 12, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Brodie Welch, L.AC.NPI 1275599698

Title

President

Phone

(541) 757-4868

Specialties & licenses 1

Addresses

Other names 1

• Life in Balance Acupuncture Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brodie Welch, L.AC.

  • Acupuncturist
  • Corvallis, OR
  • NPI 1275599698
  NPD (past) Authorized official

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

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457740800000",
    "number": "1033570460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306411",
            "telephone_number": "541-757-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306411",
            "telephone_number": "541-757-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRODIE WELCH, L.AC., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-12",
        "last_updated": "2016-03-12",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "BRODIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-757-4868",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "AC-00744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life in Balance Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brock Ryan Bristow
• Christopher Broadbent, LPC
• Catherine Broadhurst, SLP
• Andre Broadnax
• Deziree Mya Brock
• Robert Dron Brodie III
• Amelia Brown
• Brenna Brown, SLP
• Charlene Nichole Brown
• Connor Alan Brown

• Health Service Clinic/Center in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2016; 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.