DR. JENNIFER OTYLIA BROAD (NPI# 1194878207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194878207 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER OTYLIA BROAD |
| Credential | D.C. |
| Practice Address |
803 Kamehameha Hwy Ste 309 Pearl City HI 96782-2638 |
| Mailing Address |
91-1072 Opaehuna St Ewa Beach HI 96706-3565 |
| Practice Telephone | 8084565553 |
| Practice Fax Number | 8084556520 |
| Mailing Telephone | 8086766855 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 657 | HI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205276979 | Jennifer Broad | Speech-Language Pathologist | 11734 Spring Path Ct, Tomball, TX 77377-8146 | 2013-06-26 |
| 1801039821 | Jennifer Lauren Broad | Obstetrics & Gynecology | 11234 Anderson St, House Staff Office Cp 21005, Loma Linda, CA 92354-2804 | 2009-04-07 |
| Street Address |
803 KAMEHAMEHA HWY STE 309 |
| City | PEARL CITY |
| State | HI |
| Zip Code | 96782-2638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265586747 | Christopher Mitchell Nowicki | Chiropractor | 803 Kamehameha Hwy Ste 309, Pearl City, HI 96782-2638 | 2007-01-22 |
| 1184778565 | Pearl City Chiropractic, LLC | Chiropractor | 803 Kamehameha Hwy Ste 309, Pearl City, HI 96782-2638 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801445663 | Benjamin Jacob Gomez | Clinic/Center | 2001 Victor Wharf, Pearl City, HI 96782 | 2019-09-05 |
| 1457824252 | Mary Jane P Harris | Nurse Practitioner | 98-1238 Kaahumanu St # 403, Pearl City, HI 96782 | 2019-01-04 |
| 1285141283 | Al's Vinyl Repair Inc. | Hearing Aid Equipment | 98-450 Kamehameha Hwy, #4, Pearl City, HI 96782 | 2017-12-29 |
| 1730601527 | North Shore Prosthetics and Orthotics Inc. | Prosthetic/Orthotic Supplier | 719 Kamehameha Hwy Ste B100, Pearl City, HI 96782 | 2017-07-12 |
| 1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
| 1518307321 | Queens Medical Center | General Acute Care Hospital | 1348 Hoohui Street, Pearl City, HI 96782 | 2013-06-26 |
| 1437451903 | Ashley Cerzo Rivera | Nurse Practitioner | 1790 Paailuna Way, Pearl City, HI 96782 | 2010-12-03 |
| 1972684934 | Zaada Hailley | Marriage & Family Therapist | 1151 Waimano Home Rd, Pearl City, HI 96782 | 2006-10-18 |
| 1699876979 | Myron E Kawakami | Dentist | 98-1238 Ka'ahumanu St, #305, Pearl City, HI 96782 | 2006-09-26 |
| 1144328170 | Qsi Inc | Pharmacy | 98 1264 Kaahumanu St, Pearl City, HI 96782 | 2006-09-21 |
| Find all providers in zip 96782 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982143012 | Erica Barnhart | Chiropractor | 719 Kamehameha Hwy Ste B101, Pearl City, HI 96782-2771 | 2017-02-22 |
| 1326184615 | Newtown Chiropractic & Naturopathic Clinic Inc. | Chiropractor | 719 Kamehameha Hwy, B101, Pearl City, HI 96782-2709 | 2007-01-30 |
| 1861573529 | Ward E Rider | Chiropractor | 98-1258 Kaahumanu St Ste 110, Pearl City, HI 96782-3251 | 2006-10-18 |
| 1588967590 | Jabez Inc | Chiropractor | 803 Kamehameha Hwy, Suite 301, Pearl City, HI 96782-2680 | 2010-12-13 |
| 1831229640 | Eugene W Kitts | Chiropractor | 719 Kamehameha Hwy, Unit B101, Pearl City, HI 96782-2709 | 2007-03-07 |
| 1184778565 | Pearl City Chiropractic, LLC | Chiropractor | 803 Kamehameha Hwy Ste 309, Pearl City, HI 96782-2638 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780208033 | Nathaniel K Davis | Chiropractor | 91-902 Fort Weaver Rd Ste 105, Ewa Beach, HI 96706-2261 | 2020-06-02 |
| 1821617218 | Alan Marcus Bertolero | Chiropractor | 91-1123 Keaunui Dr Ste 228, Ewa Beach, HI 96706-6370 | 2020-04-15 |
| 1467088146 | Skylar Sterling Vieselmeyer | Chiropractor | 91-1123 Keaunui Dr # 228, Ewa Beach, HI 96706-6364 | 2020-03-13 |
| 1639704596 | Cornerstone Family Chiropractic Inc | Chiropractor | 338 Kamokila Blvd Ste 207, Kapolei, HI 96707-2055 | 2020-03-10 |
| 1851926562 | Strength In Chiropractic | Chiropractor | 370 Haleloa Pl Apt B, Honolulu, HI 96821-2273 | 2020-03-03 |
| 1053945790 | Ke Kai Health LLC | Chiropractor | 2499 Kapiolani Blvd Ste 104, Honolulu, HI 96826-5310 | 2020-03-02 |
| 1972137297 | Molly Stiens | Chiropractor | 400 Hana Hwy Ste B1, Kahului, HI 96732-2383 | 2020-02-25 |
| 1669017851 | Lily Deane | Chiropractor | 66-590 Kamehameha Hwy Ste 1b, Haleiwa, HI 96712-1484 | 2019-11-11 |
| 1720621196 | Coastline Chiropractic Hawaii LLC | Chiropractor | 95-023 Waihau St Apt E241, Mililani, HI 96789-3384 | 2019-10-18 |
| 1700436805 | Honolulu Elite Chiropractic, LLC | Chiropractor | 1441 Kapiolani Blvd Ste 808, Honolulu, HI 96814-4404 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
| City | PEARL CITY |
| Zip Code | 96782 |
Please comment or provide details below to improve the information on DR. JENNIFER OTYLIA BROAD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.