Broderick Family Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC005756 Issued in NJ

Legal business name

BRODERICK FAMILY CHIROPRACTIC, PC

Practice address

123 Egg Harbor Rd
Suite 307
Sewell, NJ 08080-9406

Phone

(856) 228-4477

Fax

(856) 228-8365

NPI assigned

Dec 4, 2006

Last updated

Mar 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Anthony Broderick Jr., D.C.NPI 1548328651

Title

President

Phone

(856) 228-4477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Anthony Broderick Jr., D.C.

  • Chiropractor
  • Sewell, NJ
  • NPI 1548328651
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1467510479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD",
            "address_2": "SUITE 307",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "856-228-4477",
            "fax_number": "856-228-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD",
            "address_2": "SUITE 307",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "856-228-4477",
            "fax_number": "856-228-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRODERICK FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-228-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC005756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Clare Brecht, RN
• Danielle Brenza, D.O.
• Howard Bresalier, D.O.
• Brilliant Behavioral Health LLC
• Inayah Bristol, M.ED
• Joseph Anthony Broderick Jr., D.C.
• Nils Viesturs Brolis, D.O.
• David Bromberg, M.D.
• Briana Brown, PHARMD
• Jasmine Brown

• Chiropractor in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.