Broadway Neck and Back, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BROADWAY NECK AND BACK, INC

Practice address

5437 Broadway
Merrillville, IN 46410-1647

Phone

(219) 980-3509

NPI assigned

Sep 10, 2009

Organization subpart

No

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

Authorized official

Name

Charles Bennett II

Title

Chiropractor

Phone

(316) 461-8397

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1649503442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101647",
            "telephone_number": "219-980-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY NECK AND BACK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "316-461-8397",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.