Thomas Steven Brodar, D.C., L.C.P.
Individual provider Active NPI Chiropractor · Delphi, IN
NPI 1255376299 · NPPES record last updated Nov 22, 2011
Key facts
- NPI
- 1255376299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08000733A (IN)
- Practice address
- 1303 S Washington St
Delphi, IN 46923-8729 - Phone
- (765) 564-4898
- Fax
- (765) 564-2414
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1303 S Washington St
Delphi, IN 46923-8729
Phone (765) 564-4898
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111222000224 | IN | Practitioner - Chiropractic |
5890961833 | Practice locations: Delphi, IN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000733A | IN | Yes |
Addresses
Primary practice location
1303 S Washington St
Delphi, IN 46923-8729
Mailing address
1303 S Washington St
Delphi, IN 46923-8729
Phone (765) 564-4898
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000084814 | Other | IN | ANTHEM |
| 100088960 | Medicaid | IN |
Other names
- Thomas Steven Brodar
Other providers in Delphi, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.