Broadway South Chiropractic Clinic PC

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

968 Issued in CO

Legal business name

BROADWAY SOUTH CHIROPRACTIC CLINIC PC

Practice address

3601 S Broadway
Englewood, CO 80113-3610

Phone

(303) 761-8521

NPI assigned

Mar 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brain K Wilson, DC

Title

Owner

Phone

(303) 761-8521

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1407197742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133610",
            "telephone_number": "303-761-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133610",
            "telephone_number": "303-761-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY SOUTH CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRAIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-761-8521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "CO",
            "license": "968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan R. Brion
• Hailey Britt
• Elizabeth S Brittan, PH.D.
• Eric Britton, M.D.
• Broadvistas Psychology LLC
• Sara Brobeck, RDN/LDN
• Derek Brogdon, LPC, LCDC-INTERN
• Bronwyn E. Brooks, R.P.T.
• Amber Brown
• Anthony Christopher Brown, M.D.

• Internist Chiropractor in Englewood, CO
• Providers in Englewood, CO by specialty
• Internist Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.