Bronco Injury & Chiropractic Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRONCO INJURY & CHIROPRACTIC CENTER, INC.

Practice address

23077 Greenfield Rd Ste 460
Southfield, MI 48075-3754

Phone

(248) 644-6272

Fax

(248) 644-6276

NPI assigned

Aug 31, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Raphael C Okonkwor, DC

Title

Owner

Phone

(248) 644-6272

Specialties & licenses 1

Addresses

Tax ID family

Bronco Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bronco Injury & Chiropractic Center, Inc.

  • Chiropractor
  • Southfield, MI
  • NPI 1548673791
  NPD tax ID

Locations

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1144536954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 460",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753754",
            "telephone_number": "248-644-6272",
            "fax_number": "248-644-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 460",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753754",
            "telephone_number": "248-644-6272",
            "fax_number": "248-644-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONCO INJURY & CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "OKONKWOR",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-644-6272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felethia Broaden
• Amber Brock
• Anthony Lee Brock Jr.
• Margaret Brockmeyer-Bernard, DDS
• Abbigail Broderick
• Bronco Injury & Chiropractic Center, Inc.
• Rachel Bronfin
• Aldrich M Brooks, M.D.
• Arletha Ann Brooks
• Cedric Lamar Brooks, LPC

• Chiropractor in Southfield, MI
• Providers in Southfield, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.