Michele Broadhurst, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR2352 Issued in ME

Practice address

1012 Union St
Bangor, ME 04401-3060

Phone

(207) 404-8100

Fax

(207) 947-0435

NPI assigned

Mar 19, 2018

Last updated

Nov 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1447754296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599",
            "telephone_number": "207-404-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 UNION ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013060",
            "telephone_number": "207-404-8100",
            "fax_number": "207-947-0435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Hampden Rd",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "ME",
            "postal_code": "044193528",
            "country_code": "US",
            "telephone_number": "207-949-2420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Main St",
            "address_purpose": "LOCATION",
            "city": "Old Town",
            "state": "ME",
            "postal_code": "044681470",
            "country_code": "US",
            "telephone_number": "207-827-5951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADHURST",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Brightbill, O.D.
• Shauna Renee Brimley-Bergstrom
• Bristol Hospice - Bangor, LLC
• Joseph Bruce Brittelli, RN
• Robin Brittelli, RPH
• Broadway Dental PC
• Sheryl A Brockett, LCPC C
• Amy S Brook, LCSW
• Nicole C Brooker, PT
• Robert L Brookings, D.M.D.

• Chiropractor in Bangor, ME
• Providers in Bangor, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.