Richard a Broeg DC PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3438 Issued in KY

Legal business name

RICHARD A BROEG DC PSC

Practice address

1029 Burlington Pike
Florence, KY 41042-1235

Phone

(859) 525-2020

Fax

(859) 525-0472

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Richard A Broeg, DCNPI 1710941885

Title

Owner

Phone

(859) 525-2020

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Broeg Chiropractic & Nutrition Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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

• Richard A. Broeg, D.C.

  • Chiropractor
  • Florence, KY
  • NPI 1710941885
  Medicare reassignment Care Compare group NPD Authorized official
• Eva Kristin Broeg, D.C.

  • Chiropractor
  • Florence, KY
  • NPI 1366580375
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1710008560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1057",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410221057",
            "telephone_number": "859-525-2020",
            "fax_number": "859-525-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 BURLINGTON PIKE",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421235",
            "telephone_number": "859-525-2020",
            "fax_number": "859-525-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A BROEG DC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "BROEG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-525-2020",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3438",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "KY",
            "license": "3438",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001261",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broeg Chiropractic & Nutrition Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Reutman, MD
• Jennifer Reynolds, LPCC
• Lonnie Rhodes, APRN, FNP-C
• Brannon Rich, OTR/L
• Whitney Rich, RD, CSP, LD, CLC
• Victoryia Margaret Richards
• Whitney Richardson, LPCC
• Mandee L Riddell, AU.D.
• Chelsea Rider, B.S.
• Gabrielle C Riffe, PHARMD

• Chiropractor in Florence, KY
• Providers in Florence, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.