Organization Active NPI

Broadwater Family Chiropractic, PLLC

  • Chiropractor
  • Townsend, MT
National Provider Identifier
1093032294
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BROADWATER FAMILY CHIROPRACTIC, PLLC
Practice address
310 Broadway St
Townsend, MT 59644-2222
Phone
(406) 521-0078
NPI assigned
Apr 27, 2010
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Dr. Roxanne M Maxwell, D.C.
Title
Chiropractor
Phone
(406) 521-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

310 Broadway St
Townsend, MT 59644-2222

Mailing address

310 Broadway St
Townsend, MT 59644-2222
Phone (406) 521-0078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100514000416 MT Part B Supplier - Clinic/Group Practice 0345378188 Receives reassigned benefits from 2 practitioners
Practice locations: Townsend, MT

National Provider Directory

National Provider Directory

Locations

310 Broadway St
Townsend, MT 59644
Phone (406) 502-1899

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1093032294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BROADWAY ST",
            "city": "TOWNSEND",
            "state": "MT",
            "postal_code": "596442222",
            "telephone_number": "406-521-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BROADWAY ST",
            "city": "TOWNSEND",
            "state": "MT",
            "postal_code": "596442222",
            "telephone_number": "406-521-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWATER FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "406-521-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Townsend, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.