Broad Street Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1946 Issued in OH

Legal business name

BROAD STREET CHIROPRACTIC CLINIC INC

Practice address

899 E Broad St
Suite 425
Columbus, OH 43205-1156

Phone

(614) 251-0222

Fax

(614) 251-0258

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David R Phillips, DC

Title

Owner

Phone

(614) 251-0222

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey J Phillips, D.C.

  • Chiropractor
  • Columbus, OH
  • NPI 1770662769
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1467626333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 E BROAD ST STE 425",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051195",
            "telephone_number": "614-251-0222",
            "fax_number": "614-251-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 E BROAD ST",
            "address_2": "SUITE 425",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051156",
            "telephone_number": "614-251-0222",
            "fax_number": "614-251-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD STREET CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-251-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dimund Britton, QMHS
• Ronda Britton
• Brli Genpath Diagnostics, Inc.
• Broad Home Healthcare, LLC
• Broad St Physical Rehab LLC
• Julianne Broadbent
• Jazmin Broadnax
• Kimberly Ann Broadnax
• Tiffany Broadnax
• Amber D Broadus, CHW

• Chiropractor in Columbus, OH
• Providers in Columbus, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.