Individual provider Active NPI

Evan Justin Brofsky, D.C.

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1316229651
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10362 Issued in FL
Practice address
1410 S Powerline Rd
Pompano Beach, FL 33069-4300
Phone
(954) 772-2711
NPI assigned
Sep 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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 CH10362 FL Primary

Addresses

Primary practice location

1410 S Powerline Rd
Pompano Beach, FL 33069-4300

Mailing address

1410 S Powerline Rd
Pompano Beach, FL 33069-4300
Phone (954) 772-2711

Other names 1

  • Dr. Evan Justin Brofsky Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH10362FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1316229651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S POWERLINE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694300",
            "telephone_number": "954-772-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S POWERLINE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694300",
            "telephone_number": "954-772-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROFSKY",
        "first_name": "EVAN",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVAN",
            "last_name": "BROFSKY",
            "middle_name": "JUSTIN",
            "prefix": "DR.",
            "credential": "D.C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.