Active NPI
John P Broderick, DC
- Chiropractor
- Lowell, MA
National Provider Identifier
1396831053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2553
- Practice address
- 249 Central St
Lowell, MA 01852-2214 - Phone
- (978) 452-1466
- Fax
- (978) 452-1826
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2553 | MA | Primary |
Addresses
Primary practice location
249 Central St
Lowell, MA 01852-2214
Mailing address
249 Central St
Lowell, MA 01852-2214
Phone (978) 452-1466
Other practice location 1
1007 Osgood St
North Andover, MA 01845-1501
Phone (978) 557-9355
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606350 | Other | MA | CIGNA |
| Y36807 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 468952 | Other | MA | TUFTS |
| 63563 | Other | MA | FALLON |
| PR1697 | Medicaid | MA | |
| 351369 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
249 Central St
Lowell, MA 01852-2214
Phone (978) 452-1466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporate Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| New England Health and Wellness LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Lowell, MA
- NPI 1588759039
-
- Family Medicine Physician
- Chelmsford, MA
- NPI 1316212384
-
- Chiropractor
- Lowell, MA
- NPI 1699847889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1396831053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 CENTRAL ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522214",
"telephone_number": "978-452-1466",
"fax_number": "978-452-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 CENTRAL ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522214",
"telephone_number": "978-452-1466",
"fax_number": "978-452-1826"
}
],
"practiceLocations": [
{
"address_1": "1007 Osgood St",
"address_purpose": "LOCATION",
"city": "North Andover",
"state": "MA",
"postal_code": "018451501",
"country_code": "US",
"telephone_number": "978-557-9355",
"fax_number": "978-975-2437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRODERICK",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "606350",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "Y36807",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "468952",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "63563",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PR1697",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "351369",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.