Sandra Marie Broberg, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00000477 Issued in WA

Practice address

4500 9TH Ave NE
Suite 300
Seattle, WA 98105-4737

Phone

(206) 841-8500

NPI assigned

Nov 11, 2006

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Body in Balance Acupuncture PLLC

  • Acupuncturist
  • Seattle, WA
  • NPI 1972185536
  NPD Authorized official

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699846790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 8TH AVE NE APT 115",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257228",
            "telephone_number": "206-417-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 9TH AVE NE",
            "address_2": "SUITE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054737",
            "telephone_number": "206-841-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBERG",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary K Broadwater, P.T
• Broadway Dental Care (Edward G Sutter DDS)
• Broadway Dental Center, Inc. (S. David Buck, DDS)
• Broadway Vision Source
• Nicole T Broas, ARNP
• Jordan Alan Brocaille, MSN, FNP-C
• Lindsey Brochu, ARNP
• Analiese N/a Brock, RD
• Bethany Ai Brock
• Brigit Victoria Brock, M.D.

• Acupuncturist in Seattle, WA
• Providers in Seattle, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.