Charles Broback, DPT, CSCS - Physical Therapist in Golden Valley, MN

Charles Broback, DPT, CSCS is a Physical Therapist based in Golden Valley, Minnesota. Charles Broback is licensed to practice in Minnesota (license number 11910) and his current practice location is 8301 Golden Valley Rd Ste 202, Golden Valley, Minnesota. He can be reached at his office (for appointments etc.) via phone at (763) 533-0833.

NPI number for Charles Broback is 1154939171 and his current mailing address is 717 2nd St Ne Apt 2, Minneapolis, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154939171.

Contact Information

Charles Broback, DPT, CSCS
8301 Golden Valley Rd Ste 202,
Golden Valley, MN 55427-4475
(763) 533-0833
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCharles Broback
GenderMale
SpecialityPhysical Therapist
Location8301 Golden Valley Rd Ste 202, Golden Valley, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154939171
  • Provider Enumeration Date: 07/15/2020
  • Last Update Date: 07/21/2020

Medical Identifiers

Medical identifiers for Charles Broback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154939171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251S0007XPhysical Therapist - Sports (* (Not Available))Secondary
225100000XPhysical Therapist 11910 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Broback is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Broback, DPT, CSCS
717 2nd St Ne Apt 2,
Minneapolis, MN 55413-1907

Ph: () -
Charles Broback, DPT, CSCS
8301 Golden Valley Rd Ste 202,
Golden Valley, MN 55427-4475

Ph: (763) 533-0833

Reviews and Comments


Physical Therapist in Golden Valley, MN

Nicole Kraemer, PT
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Practice Location: 3915 Golden Valley Rd, Golden Valley, MN 55422
Phone: 763-520-0540    
Janice Patricia Kehler, PT MSC MA
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Phone: 763-588-0811    Fax: 763-520-0355
Dr. Kristin Lee Johnson, PT, DPT, NCS
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Medicare: Not Enrolled in Medicare
Practice Location: 6701 Country Club Dr, Golden Valley, MN 55427
Phone: 952-993-5495    
Eric Stavenger, DPT
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Medicare: Not Enrolled in Medicare
Practice Location: 7505 Country Club Dr, Golden Valley, MN 55427
Phone: 763-450-6902    
Paul Larry Melsness, MSPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3915 Golden Valley Rd, Golden Valley, MN 55422
Phone: 763-520-0449    
Alexandra Pantelis,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3915 Golden Valley Rd, Golden Valley, MN 55422
Phone: 612-775-2499    
Lance Briard,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 8301 Golden Valley Rd Ste 202, Golden Valley, MN 55427
Phone: 507-227-9685    Fax: 612-365-0307

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.