DR. JOHN P BRODERICK (DC) – Chiropractor, NPI 1396831053

DR. JOHN P BRODERICK (DC) is a healthcare provider. based in Lowell, Massachusetts. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 2553 (MA). The NPI Number for DR. JOHN P BRODERICK (DC) is 1396831053

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN P BRODERICK (DC)
NPI
1396831053
Phone
(978) 452-1466
Address
174 CENTRAL STREET
Enumeration Date
4 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NEW YORK CHIROPRACTIC COLLEGE
Secondary Phone
9784521466
Graduation Year
2000 (26 years ago)
PAC ID
7214840156
Professional Enrollment ID
I20031107000143
Address ID
MA018522214LO249XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

791 CHIROPRACTIC in MA

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Provider Addresses for DR. JOHN P BRODERICK (DC)

  • 174, Central Street, Merrimack-Middle Street Historic District, The Acre, Lowell, Middlesex County, Massachusetts, 01852, United States

    SUITE 234

    LOWELL, MA 01852

    Phone: (978) 452-1466

    Fax: (978) 452-1826

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031107000143IChiropracticMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions39943$0
View full utilization report →

Insurance plans in this area (ZIP 01852)

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Reviews

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Frequently asked questions

How do I look up DR. JOHN P BRODERICK (DC) by NPI?
Use NPI 1396831053 when you need to reference DR. JOHN P BRODERICK (DC) in forms, claims, or directories.
Does this profile mean DR. JOHN P BRODERICK (DC) is currently active?
Yes — DR. JOHN P BRODERICK (DC) appears active in the national provider directory.
What kind of provider is DR. JOHN P BRODERICK (DC)?
The page reflects Chiropractor for DR. JOHN P BRODERICK (DC). Clinical services aligned with this taxonomy classification.
What location shows for DR. JOHN P BRODERICK (DC)?
We surface Lowell, Massachusetts for DR. JOHN P BRODERICK (DC) based on available NPPES addresses.
What if Lowell, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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