Broadway Chiropractic Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4563 Issued in TX

Legal business name

BROADWAY CHIROPRACTIC CLINIC, PC

Practice address

7870 Broadway St # C-100
San Antonio, TX 78209-2561

Phone

(210) 828-4422

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Wafful, D.C.NPI 1235174814

Title

President

Phone

(210) 828-4422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Robert A Wafful, D.C.

  • Chiropractor
  • San Antonio, TX
  • NPI 1235174814
  Medicare reassignment Authorized official
• Joy L Wafful, D.C.

  • Chiropractor
  • San Antonio, TX
  • NPI 1356386775
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164509816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7870 BROADWAY ST # C-100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092561",
            "telephone_number": "210-828-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 BROADWAY ST # C-100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092561",
            "telephone_number": "210-828-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAFFUL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-828-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Broadbent, PNP-C
• Julie Elizabeth Broadbent
• Jessica Broadhead, CRNA
• Jennifer Chu Broadwater, PHARMD
• Myranda Broadwater
• Broadway Convalescent Center, L.P.
• Broadway Healthcare LLC
• Broadway Pediatric Dentistry, PLLC
• Broadway Vascular PLLC
• Demonica Ann Broadway, LMSW

• Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.