Jack Broaddus, ATC
NPI 1134805096 · Athletic Trainer · Ann Arbor, MI
Jack Broaddus, ATC is a Athletic Trainer provider in Ann Arbor, MI (NPI 1134805096).
Provider details
- NPI number
- 1134805096
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2601002903 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-26
- Last updated
- 2023-06-26
- Certified
- 2023-01-18
Frequently asked questions
- What is Jack Broaddus's NPI number?
- Jack Broaddus's National Provider Identifier (NPI) is 1134805096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Broaddus's specialty?
- Jack Broaddus is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jack Broaddus located?
- Jack Broaddus's practice location on file with NPPES is 1200 S State St, Ann Arbor, MI 48109.
- What is Jack Broaddus's phone number?
- The practice phone number listed in the NPPES registry for Jack Broaddus is (734) 647-2583.
- Is Jack Broaddus's NPI active?
- Yes — Jack Broaddus's NPI (1134805096) is active in the NPPES registry as of the last update on 2023-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.