Provider Profile

Jack Broaddus, ATC

Unclaimed Profile

About Jack Broaddus

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Specialty

Credentials & Licensing

MI license2601002903
NPI1134805096
NPI issued06/26/2023

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

Where is Jack Broaddus located?

Jack Broaddus is listed at 1200 S State St, Ann Arbor, MI 48109. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jack Broaddus's phone number?

The number on file is (734) 647-2583. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Jack Broaddus's NPI number?

Jack Broaddus's National Provider Identifier is 1134805096. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Jack Broaddus been practicing?

Jack Broaddus has 3+ years experience. Registered with an NPI since 2023. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Jack Broaddus confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jack Broaddus. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.