Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1396701157 Deactivated / Inactive NPI Male Practitioner

Dr. William R Broderick , DC

Chiropractor • Elkhart, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Broderick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 21, 2006
NPI Deactivation Date August 30, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. William Broderick, DC was a registered Chiropractor practicing in Elkhart, IN. Throughout an active medical career spanning 19 years, Dr. Broderick provided care at the practice location at 1424 JOHNSON ST until profile deactivation on 2025-08-30.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1424 Johnson St

Elkhart, IN 465143404

Telephone 5742644151
Fax 5742629891
Associated Practice Facility / Clinic
🏢 Broderick Chiropractic Center Facility NPI 1184028490

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Elkhart, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.6 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Elkhart, IN (1470 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
12.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
3,481 173 $40.82 $35.64

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IN 723

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1518923945

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 30, 2025

Record deactivated on August 30, 2025

NPI Profile Active September 03, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 03, 2010

Registered at 1424 JOHNSON ST, ELKHART, IN 465143404 (Tel: 5742644151)

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Updated Business Mailing Address September 03, 2010

Registered at 1424 JOHNSON ST, ELKHART, IN 465143404 (Tel: 5742644151)

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Provider Name / Credentials Updated September 03, 2010

Recorded as WILLIAM BRODERICK, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2010

Chiropractor (License #723 in IN)

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Initial NPI Registration & Enumeration April 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396701157
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2006
Last Update: September 03, 2010
Deactivation Date: August 30, 2025

Mailing Address

1424 Johnson St

Elkhart, IN 465143404

Phone: 5742644151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.