Individual provider Active NPI

Amanda R. J. Broome, DC

  • Chiropractor
  • North Miami Beach, FL
National Provider Identifier
1205413697
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15414 Issued in FL
Practice address
1558 NE 162ND St Ste a
North Miami Beach, FL 33162-4716
Phone
(786) 245-7444
Fax
(786) 863-8005
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00687 RI
Chiropractor 111N00000X CH15414 FL Primary

Addresses

Primary practice location

1558 NE 162ND St Ste a
North Miami Beach, FL 33162-4716

Mailing address

1558 NE 162ND St Ste a
North Miami Beach, FL 33162-4716
Phone (786) 245-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH15414FLMDChiropractor
DCP00687RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Body Healthcare , Inc. CurrentSince Mar 24, 2025 Accepting new patients
Enos Chiropractic Center Inc Chiropractor PastSince Mar 1, 2021 Accepting new patients

Locations

1558 NE 162nd St
#A
North Miami Beach, FL 33162
Phone (786) 245-7444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABFCCD/Endpoint/ABFCCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1205413697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 NE 162ND ST STE A",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624716",
            "telephone_number": "786-245-7444",
            "fax_number": "786-863-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 NE 162ND ST STE A",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624716",
            "telephone_number": "786-245-7444",
            "fax_number": "786-863-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOME",
        "first_name": "AMANDA",
        "middle_name": "R. J.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00687",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.