Individual provider Active NPI

Richard A. Broeg, D.C.

  • Chiropractor
  • Florence, KY
National Provider Identifier
1710941885
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3438 Issued in KY
Practice address
1029 Burlington Pike
Florence, KY 41042-1235
Phone
(859) 525-2020
Fax
(859) 525-0472
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3438 KY Primary

Addresses

Primary practice location

1029 Burlington Pike
Florence, KY 41042-1235

Mailing address

8850 Lower River Rd
Rabbit Hash, KY 41005-8696
Phone (859) 689-1317

Other identifiers 1

IdentifierTypeStateIssuer
85001261MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000125 KY Practitioner - Chiropractic 7911803523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard a Broeg DC PSCGroup PAC ID 6901993583, 2 clinicians

Practice addresses (Care Compare)

1029 Burlington Pike
Florence, KY 41042-1235
Phone (859) 525-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3438KYMDElectroneurodiagnostic Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a Broeg DC PSC Chiropractor CurrentSince Oct 29, 2007 Accepting new patients

Locations

1029 Burlington Pike
Florence, KY 41042
Phone (606) 525-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710941885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 LOWER RIVER RD",
            "city": "RABBIT HASH",
            "state": "KY",
            "postal_code": "410058696",
            "telephone_number": "859-689-1317"
        },
        {
            "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": {
        "last_name": "BROEG",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001261",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.