Organization Active NPI

Brandywine Family Chiropractic PC

  • Chiropractor
  • Glenmoore, PA
National Provider Identifier
1205844925
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005412L Issued in PA
Legal business name
BRANDYWINE FAMILY CHIROPRACTIC PC
Practice address
1728 Horse Shoe Pike
Glenmoore, PA 19343-1036
Phone
(610) 942-1940
Fax
(610) 942-1940
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. Robert James Broody, D.C.
Title
Ceo
Phone
(610) 942-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC005412L PA Primary

Addresses

Primary practice location

1728 Horse Shoe Pike
Glenmoore, PA 19343-1036

Mailing address

1728 Horse Shoe Pike
Glenmoore, PA 19343-1036
Phone (610) 942-1940

Other identifiers 1

IdentifierTypeStateIssuer
2305606000OtherPAINDEPENDANCE BC/BS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1205844925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 HORSE SHOE PIKE",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431036",
            "telephone_number": "610-942-1940",
            "fax_number": "610-942-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 HORSE SHOE PIKE",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431036",
            "telephone_number": "610-942-1940",
            "fax_number": "610-942-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "BROODY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-942-1940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005412L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANCE BC/BS",
            "identifier": "2305606000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmoore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.