| Brodbeck Chiropractic | |
|
5976 Route 25a Wading River NY 11792-2001 | |
| (631) 345-3035 | |
| (631) 345-3244 |
| Full Name | Brodbeck Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5976 Route 25a, Wading River, New York |
| Authorized Official Name and Position | Jon N Brodbeck (CHIROPRACTOR) |
| Authorized Official Contact | 6313453035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brodbeck Chiropractic 5976 Route 25a Wading River NY 11792-2001 Ph: (631) 345-3035 | Brodbeck Chiropractic 5976 Route 25a Wading River NY 11792-2001 Ph: (631) 345-3035 |
| NPI Number | 1649514969 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 2567413941 |
|---|---|
| Medicare Enrollment ID | O20050202000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649514969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | X4005-1 (New York) | Primary |
| Provider Name | Jon N Brodbeck |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477612547 PECOS PAC ID: 3577514157 Enrollment ID: I20050201001025 |
| Provider Name | Terry Pontino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093089542 PECOS PAC ID: 8921412214 Enrollment ID: I20210127003122 |
Island Comprehensive Care Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6144 Route 25a Ste 13, Wading River, NY 11792 Phone: 917-225-2165 | |
Wading River Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5972 Route 25a, Wading River, NY 11792 Phone: 631-929-0304 | |
North Country Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5976 Route 25a, Wading River, NY 11792 Phone: 631-929-9700 Fax: 631-929-9702 | |
Shoba Menon Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1866 Wading River Manor Rd, Wading River, NY 11792 Phone: 631-929-8787 Fax: 631-929-0350 | |
Robert Bernard M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6144 Route 25a Bldg C, Suite 10, Wading River, NY 11792 Phone: 631-929-5900 Fax: 631-929-6487 | |
C Jay's Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6144 Route 25a Ste 9, Wading River, NY 11792 Phone: 631-793-6397 |