Sophie Brodeur, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2399 Issued in OH

Practice address

1635 E Myrtle Ave
Suite 200
Phoenix, AZ 85020-5556

Phone

(480) 767-3300

Fax

(513) 531-2278

NPI assigned

Jun 19, 2006

Last updated

May 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Performance Chiropractic and Sports Injury Center, LLC

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1730422288
  Authorized official Same address or phone
• Dr Sophie Brodeur LLC

  dba Norwood Chiropractic

  • Chiropractor
  • Cincinnati, OH
  • NPI 1013953553
  Authorized official Same address or phone
• Dixie Chiropractic, Inc.

  • Neurology Chiropractor
  • Dayton, OH
  • NPI 1710105903
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1871538157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WALL ST",
            "address_2": "SUITE Q",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122781",
            "telephone_number": "513-531-2277",
            "fax_number": "513-531-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 E MYRTLE AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205556",
            "telephone_number": "480-767-3300",
            "fax_number": "513-531-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODEUR",
        "first_name": "SOPHIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2399",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen R Broderick, ACNP
• Melissa Catherine Broderick, MS, BCBA, LBA
• Heather Broderson, CTRS
• Carmen Noelle Brodeur, DC
• Marc Anthony Brodeur, DC
• Margaret Kay Penner Brodie, RN
• David Brodkin, MD
• Julie M Brodmerkel, LMSW
• Adam M Brodsky, MD
• Benjamin Brody

• 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 May 10, 2012; 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.