Jeremy Joseph Broe, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO07816 Issued in GA

Practice address

241 Peachtree St Ste B
Atlanta, GA 30303-1421

Phone

(404) 522-9991

Fax

(404) 522-9890

NPI assigned

Jun 11, 2007

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Peachtree Center Rehab LLC

  • Chiropractor
  • Atlanta, GA
  • NPI 1558606137
  NPD (past) Authorized official
• Peachtree Center Rehab Medical Services

  • Medical Specialty Clinic/Center
  • Atlanta, GA
  • NPI 1215610381

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1588868046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PEACHTREE ST NE",
            "address_2": "SUITE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031424",
            "telephone_number": "404-522-9991",
            "fax_number": "404-522-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 PEACHTREE ST STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031421",
            "telephone_number": "404-522-9991",
            "fax_number": "404-522-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROE",
        "first_name": "JEREMY",
        "middle_name": "JOSEPH",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanelle Lee Brodeur, MD
• Jessica Brodley-Lopez
• Brittany Brodsky, RD
• Harold Joseph Brody, M.D.
• Jason Scot Brody, M.D.
• Bruce H Broecker, M.D.
• Alicia Brogden
• Kitty C Brogdon, RN CPNP
• Elaine Foley Bromberek, MD
• Iosha Bromell

• Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.