Broderick Chiropractic Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC30736 Issued in CA

Legal business name

BRODERICK CHIROPRACTIC CORPORATION

Practice address

3816 Woodruff Ave Ste 202
Long Beach, CA 90808-2145

Phone

(562) 420-5433

NPI assigned

Sep 27, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Lindsay Margret Weber Broderick, DCNPI 1356539571

Title

Owner/President

Phone

(562) 420-5433

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Life Choice Chiropractic Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsay Margret Weber Broderick, D.C.

  • Chiropractor
  • Long Beach, CA
  • NPI 1356539571
  NPD Authorized official
• Emma Eskilson, DC

  • Chiropractor
  • Long Beach, CA
  • NPI 1558910828
  NPD (past)
• Melisa Keo, D.C., ATC

  • Chiropractor
  • Mandeville, LA
  • NPI 1134501729
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326557828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082145",
            "telephone_number": "562-420-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082145",
            "telephone_number": "562-420-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRODERICK CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "MARGRET WEBER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "562-420-5433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC30736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1356539571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Choice Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brock Lorenz Dental Corporation
• Catherine M. Brock, MA, LMHC, LPCC
• Jaishawn Lenna Brock
• Michelle Brock, RN
• Zoe Brockway
• Lindsay Margret Weber Broderick, D.C.
• Merrick Adam Brodsky, MD
• Hayden Brogdon
• Brook & Mann
• Myles Isaac Brookman, MD

• Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.