Christopher Luke Broom, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16325 Issued in AR

Practice address

2100 Meadowlake Rd Ste 10
Conway, AR 72032-2569

Phone

(501) 513-3322

Fax

(501) 513-3065

NPI assigned

Jan 20, 2022

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

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Broom Chiropractic and Sports Therapy

  • Chiropractor
  • Greenbrier, AR
  • NPI 1952176182
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1700538899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MEADOWLAKE RD STE 10",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322569",
            "telephone_number": "501-513-3322",
            "fax_number": "501-513-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MEADOWLAKE RD STE 10",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322569",
            "telephone_number": "501-513-3322",
            "fax_number": "501-513-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOM",
        "first_name": "CHRISTOPHER",
        "middle_name": "LUKE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zyriah Brockman
• Christie L Bronson
• Aarial Shyanne Brooks
• Kaitlin Brianna Brooks
• Wesley Brooks, RECOVERY ASSISTANT
• Brown Family Chiropractic, PA
• Albert Ray Brown II
• Ashley Brown
• Bethany P Brown
• Bryan Douglas Brown, O.D.

• Chiropractor in Conway, AR
• Providers in Conway, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.