Marc Anthony Brodeur, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6010 Issued in AZ

Practice address

201 E Osborn Rd
Phoenix, AZ 85012-2327

Phone

(602) 532-9544

NPI assigned

Jan 31, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841337441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36975",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850676975",
            "telephone_number": "602-532-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122327",
            "telephone_number": "602-532-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODEUR",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Broderick, MD
• Karen R Broderick, ACNP
• Melissa Catherine Broderick, MS, BCBA, LBA
• Heather Broderson, CTRS
• Carmen Noelle Brodeur, DC
• Sophie Brodeur, D.C.
• Margaret Kay Penner Brodie, RN
• David Brodkin, MD
• Julie M Brodmerkel, LMSW
• Adam M Brodsky, MD

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• 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.