| Russell David Broccoli, DC | |
|
635 Hope Street, Providence, RI 02906 | |
| (401) 351-6390 | |
| (401) 331-0614 |
| Full Name | Russell David Broccoli |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 635 Hope Street, Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689740607 | NPI | - | NPPES |
| 90476 | Other | RI | BCBS |
| 204088 | Other | RI | BLUE CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DCP00204 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Russell David Broccoli, DC 635 Hope Street, Providence, RI 02906 Ph: (401) 351-6390 | Russell David Broccoli, DC 635 Hope Street, Providence, RI 02906 Ph: (401) 351-6390 |
Dr. Kapedjanie Bois, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 154 Waterman St, Ste 1b, Providence, RI 02906 Phone: 401-415-9585 Fax: 401-415-9586 | |
Royal Health & Wellness Chiropractor Medicare: Medicare Enrolled Practice Location: 154 Waterman St, Suite 1b, Providence, RI 02906 Phone: 401-415-9585 Fax: 401-415-9586 | |
Back In Motion Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 756 Eddy St, Providence, RI 02903 Phone: 401-228-7122 Fax: 401-228-7144 | |
Dr. Luke Joseph Basler, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1261 N Main St Ste 1, Providence, RI 02904 Phone: 401-421-0290 Fax: 401-421-0293 | |
Lanni Chiropractic And Sports Injuries Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 667 Academy Ave, Providence, RI 02908 Phone: 401-354-4460 Fax: 401-354-4480 | |
Dr. Ronald E Clary Jr., D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 154 Waterman St Ste 1b, Providence, RI 02906 Phone: 401-415-9585 Fax: 401-415-9586 | |
University Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 45 Eagle St, Providence, RI 02909 Phone: 401-272-1120 Fax: 401-272-1148 |