| Broda Chiropractic & Sports | |
|
9605 Caldwell Commons Cir, Suite C, Cornelius, NC 28031-8138 | |
| (704) 987-9818 | |
| (704) 987-9718 |
| Full Name | Broda Chiropractic & Sports |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 9605 Caldwell Commons Cir, Cornelius, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801956362 | NPI | - | NPPES |
| 085MJ | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3157 (North Carolina) | Primary |
| Provider Name | Michael M Broda |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750451712 PECOS PAC ID: 9931127339 Enrollment ID: I20051105000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Broda Chiropractic & Sports 9605 Caldwell Commons Cir, Suite C, Cornelius, NC 28031-8138 Ph: (704) 987-9818 | Broda Chiropractic & Sports 9605 Caldwell Commons Cir, Suite C, Cornelius, NC 28031-8138 Ph: (704) 987-9818 |
Dr. Laura Anne Jussila Watterson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19924 Jetton Rd, Cornelius, NC 28031 Phone: 704-896-8446 | |
Dr. Michael Wayne Chandler, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19824 W Catawba Ave Ste E, Cornelius, NC 28031 Phone: 704-655-8930 Fax: 704-655-8932 | |
Lakeside Sports Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 19924 Jetton Rd Ste 101, Cornelius, NC 28031 Phone: 704-896-8446 Fax: 704-896-8495 | |
Jon Michael Vezendy, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 20723 Torrence Chapel Rd, Ste 201, Cornelius, NC 28031 Phone: 704-895-2240 Fax: 704-765-4077 | |
Michael W. Chandler Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19824 W Catawba Ave Ste E, Cornelius, NC 28031 Phone: 704-655-8930 Fax: 704-655-8932 | |
Cre Group Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 19109 W Catawba Ave Ste 100, Cornelius, NC 28031 Phone: 704-237-4010 | |
Dr. Jennifer Marie Lidstrom, M.S.,D.C.,P.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 19924 Jetton Rd, Suite 101, Cornelius, NC 28031 Phone: 704-876-8446 Fax: 704-896-8495 |