Individual provider Active NPI

Thomas Steven Brodar, D.C., L.C.P.

  • Chiropractor
  • Delphi, IN
National Provider Identifier
1255376299
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000733A Issued in IN
Practice address
1303 S Washington St
Delphi, IN 46923-8729
Phone
(765) 564-4898
Fax
(765) 564-2414
NPI assigned
Jun 16, 2006
Last updated
Nov 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000733A IN Primary

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 names 1

  • Thomas Steven Brodar Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111222000224 IN Practitioner - ChiropracticPractitioner - Sports MedicinePractitioner - Geriatric MedicinePractitioner - Preventive Medicine 5890961833 Practice locations: Delphi, IN

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Geriatric Medicine, Preventive Medicine, Sports Medicine
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1255376299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 S WASHINGTON ST",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469238729",
            "telephone_number": "765-564-4898",
            "fax_number": "765-564-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S WASHINGTON ST",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469238729",
            "telephone_number": "765-564-4898",
            "fax_number": "765-564-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODAR",
        "first_name": "THOMAS",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C., L.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000733A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "BRODAR",
            "middle_name": "STEVEN",
            "credential": "D.C., L.C.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Delphi, IN

Sources for this page

Verify at the official NPI Registry.