Broadmoor Chiropractic Clinic
NPI 1821122904 · Chiropractor · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broadmoor Chiropractic Clinic is a Chiropractor organization in Shreveport, LA (NPI 1821122904).
Provider details
- NPI number
- 1821122904
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Christina Randolph, Office Manager(318) 868-5009
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-03-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Broadmoor Chiropractic Clinic's NPI number?
- Broadmoor Chiropractic Clinic's National Provider Identifier (NPI) is 1821122904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadmoor Chiropractic Clinic?
- Broadmoor Chiropractic Clinic is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Broadmoor Chiropractic Clinic located?
- Broadmoor Chiropractic Clinic's practice location on file with NPPES is 5805 E Kings Hwy, Shreveport, LA 71105-4303.
- What is Broadmoor Chiropractic Clinic's phone number?
- The practice phone number listed in the NPPES registry for Broadmoor Chiropractic Clinic is (318) 868-5009.
- Does Broadmoor Chiropractic Clinic accept Medicare?
- Broadmoor Chiropractic Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broadmoor Chiropractic Clinic?
- The authorized official listed on Broadmoor Chiropractic Clinic's NPPES record is Christina Randolph, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadmoor Chiropractic Clinic's NPI active?
- Yes — Broadmoor Chiropractic Clinic's NPI (1821122904) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.