Organization Active NPI

Broghammer Family Chiropractic Inc

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1316310220
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007140 Issued in IA
Legal business name
BROGHAMMER FAMILY CHIROPRACTIC INC
Practice address
214 Blairs Ferry Rd NE
Suite 2
Cedar Rapids, IA 52402-1602
Phone
(319) 378-1515
NPI assigned
Nov 2, 2015
Last updated
Nov 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Dr. Nathan Thomas Broghammer, D.CNPI 1609029966
Title
Owner/President
Phone
(319) 378-1515

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007140 IA Primary

Addresses

Primary practice location

214 Blairs Ferry Rd NE
Suite 2
Cedar Rapids, IA 52402-1602

Mailing address

214 Blairs Ferry Rd NE
Suite 2
Cedar Rapids, IA 52402-1602
Phone (319) 378-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160726002815 IA Part B Supplier - Clinic/Group Practice 2961795091 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1316310220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BLAIRS FERRY RD NE",
            "address_2": "SUITE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021602",
            "telephone_number": "319-378-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BLAIRS FERRY RD NE",
            "address_2": "SUITE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021602",
            "telephone_number": "319-378-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROGHAMMER FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "BROGHAMMER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "319-378-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.