Bruce L Broadrick Jr., PHARMD., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011947 Issued in GA

Practice address

1904 Shields Rd Ste B
Dalton, GA 30720-5064

Phone

(706) 250-0804

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Root and Ridge Counseling and Consulting LLC

  • Professional Counselor
  • Dalton, GA
  • NPI 1164341988
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1841259710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 POPLAR SPRINGS RD NW",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307207091",
            "telephone_number": "706-217-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 SHIELDS RD STE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205064",
            "telephone_number": "706-250-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADRICK",
        "first_name": "BRUCE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022581",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011947",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtni Brewer, PHARMD
• Brian Glass MD OB/GYN
• Kathleen Ryan Bridges, LCSW
• Bright Pediatrics, PC
• Lindsay Inger Bright, NP
• Megan Elizabeth Brock, PT, DPT, MPH
• Wesley Carson Brock, PHARM.D.
• Peyton Brianne Brooker
• William Thomas Brooker
• Deidra C Brown, RPH

• Professional Counselor in Dalton, GA
• Providers in Dalton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.