Active NPI
Broth Spine and Rehabilitation Centers, LLC
- Chiropractor
- North Palm Beach, FL
National Provider Identifier
1245540806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9754
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wayne J Broth, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Chiropractor
- Port Orange, FL
- NPI 1053552398
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.