Organization Active NPI

Broth Spine and Rehabilitation Centers, LLC

  • Chiropractor
  • North Palm Beach, FL
National Provider Identifier
1245540806
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9754 Issued in FL
Legal business name
BROTH SPINE AND REHABILITATION CENTERS, LLC
Practice address
727 Northlake Blvd
North Palm Beach, FL 33408-5242
Phone
(561) 904-6066
Fax
(561) 904-6076
NPI assigned
Oct 18, 2010
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Wayne J Broth, DCNPI 1487886446
Title
Chiropractor
Phone
(908) 415-5586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9754 FL Primary

Addresses

Primary practice location

727 Northlake Blvd
North Palm Beach, FL 33408-5242

Mailing address

902 SW Lost River Shores Dr
Stuart, FL 34997-7449
Phone (908) 415-5586

National Provider Directory

National Provider Directory

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1245540806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 SW LOST RIVER SHORES DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977449",
            "telephone_number": "908-415-5586",
            "fax_number": "772-221-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 NORTHLAKE BLVD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085242",
            "telephone_number": "561-904-6066",
            "fax_number": "561-904-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTH SPINE AND REHABILITATION CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "BROTH",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "908-415-5586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.