Nicholas Broadhead, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11105158-1202 Issued in UT

Practice address

3450 N Triumph Blvd Ste 102
Lehi, UT 84043-6132

Phone

(801) 316-8249

NPI assigned

Jun 11, 2020

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)

Enrolled

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1851916233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 W FOX HUNTERS LOOP",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436002",
            "telephone_number": "801-882-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 N TRIUMPH BLVD STE 102",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436132",
            "telephone_number": "801-316-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADHEAD",
        "first_name": "NICHOLAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "11105158-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaden Bretzing
• Caitlin Brewer, NP-C
• Jason Brill
• Colby Dion Brink, DC
• Justin Brinkerhoff
• Andrea Brock, M.D.
• Tyler Brockbank
• Leslie Graff Brooks, D.D.S.
• Audra Brown
• Christopher Steven Brown, LMFT

• Chiropractor in Lehi, UT
• Providers in Lehi, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.