SOPHIE BRODEUR (NPI# 1871538157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871538157 |
| Entity Type | Individual |
| Full Name | SOPHIE BRODEUR |
| Credential | D.C. |
| Practice Address |
1635 E Myrtle Ave Suite 200 Phoenix AZ 85020-5556 |
| Mailing Address |
2300 Wall St Suite Q Cincinnati OH 45212-2781 |
| Practice Telephone | 4807673300 |
| Practice Fax Number | 5135312278 |
| Mailing Telephone | 5135312277 |
| Mailing Fax Number | 5135312278 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2012-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 7562 | AZ | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 2399 | OH | Chiropractic Providers |
| Street Address |
1635 E MYRTLE AVE SUITE 200 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-5556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376520205 | Michael Chad White | Physician Assistant | 1635 E Myrtle Ave, Ste 400, Phoenix, AZ 85020-5514 | 2005-12-30 |
| 1306398581 | Arizona Recovery Care Center LLC | Clinic/Center | 1635 E Myrtle Ave, Ste 200, Phoenix, AZ 85020-5556 | 2016-11-03 |
| 1568835866 | Arizona Health Associates LLC | Specialist/Technologist, Other | 1635 E Myrtle Ave, Suite 400, Phoenix, AZ 85020-5556 | 2015-11-09 |
| 1003172560 | Andrew Shane Kuhlman | Physician Assistant | 1635 E Myrtle Ave, Ste 400, Phoenix, AZ 85020-5556 | 2012-04-09 |
| 1073848248 | Jennifer Lynn Keathley | Physician Assistant | 1635 E Myrtle Ave, Ste 400, Phoenix, AZ 85020-5556 | 2009-10-06 |
| 1598967911 | Nima Salari | Orthopaedic Surgery | 1635 E Myrtle Ave, Ste 400, Phoenix, AZ 85020-5556 | 2007-06-05 |
| 1821034356 | Anthony T Yeung | Specialist | 1635 E Myrtle Ave, Ste 400, Phoenix, AZ 85020-5556 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| 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 |
|---|---|---|---|---|
| 1023628476 | The Wellness Way North Phoenix LLC | Chiropractor | 34406 N 27th Dr Ste 139, Phoenix, AZ 85085-7733 | 2020-07-31 |
| 1114535366 | Brian Anthony Romero | Chiropractor | 230 S 3rd St Ste B3, Phoenix, AZ 85004-2697 | 2020-07-14 |
| 1760034573 | Teresa Stevens | Chiropractor | 42806 N 20 St, Phoenix, AZ 85087 | 2019-07-11 |
| 1609439645 | Danielle Stetzel | Chiropractor | 1130 E Missouri Ave Ste 402, Phoenix, AZ 85014-2724 | 2019-04-16 |
| 1447723598 | 28th Street Medical Group, LLC | Chiropractor | 2836 E Indian School Rd Ste A8, Phoenix, AZ 85016-6864 | 2019-01-10 |
| 1740753094 | Scott Mackenzie | Chiropractor | 4040 E Camelback Rd Ste 155, Phoenix, AZ 85018-8349 | 2019-01-09 |
| 1417437989 | Lone Star Health, LLC | Chiropractor | 10 E Ruth Ave, Phoenix, AZ 85020-3131 | 2018-08-15 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1932687969 | Trish Triemert | Chiropractor | 3415 W Glendale Ave Ste 3a, Phoenix, AZ 85051-8484 | 2018-08-01 |
| 1639667009 | Samuel William Rodriguez | Chiropractor | 1130 E Missouri Ave Ste 180, Phoenix, AZ 85014-2736 | 2018-05-01 |
| Find all providers in PHOENIX | ||||
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| 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.