Steven John Brodar, D.C.
Individual provider Active NPI Orthopedic Chiropractor · Lexington, NC
NPI 1346264173 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346264173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Chiropractor 111NX0800X
- License
- 1385 (NC)
- Practice address
- 1400 S Main St
Lexington, NC 27292-2840 - Phone
- (336) 248-4923
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1400 S Main St
Lexington, NC 27292-2840
Phone (336) 248-4923
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090306000175 | NC | Practitioner - Chiropractic | 2769548387 | Practice locations: Lexington, NC |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1385 | NC | MD | Orthopedic Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 1385 | NC | Yes |
Addresses
Primary practice location
1400 S Main St
Lexington, NC 27292-2840
Mailing address
1400 S Main St
Lexington, NC 27292-2840
Phone (336) 248-4923
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908320 | Medicaid | NC |
Other providers in Lexington, NC
- Glenn Carl Brewer
- Brian Center Drive Operating Company, LLC
- Bridge It
- Marianne Pring Broadway
- Kaitlyn Elyse Batt Brodar
- Faith Ann Broder
- Brookstone Retirement Ctr.,LLC.
- Joanne Brown
- Michael Osborne Brown
- Katelyn Shelton Bruff
All providers in Lexington, NC · Orthopedic Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.
- 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.