Russell David Broccoli is a Providence, Rhode Island based chiropractor who is specialized as
General Chiropractic. Active license number of Russell David Broccoli as General Chiropractic is
DCP00204 in Rhode Island.
Russell David Broccoli is qualified as 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.
Complete Profile:
Russell David Broccoli speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | General Chiropractic |
| Credentials: | DC |
| Gender: | Male |
| Practice Address: | 635 Hope Street, Providence,
Rhode Island, 02906 |
| Phone: | 401-351-6390 |
| Fax: | 401-331-0614 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1689740607 |
| NPI Enumeration Date: | 28 Nov, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell David Broccoli are as mentioned below.
| License Number | Specialization | State | Status | |
| DCP00204 | Chiropractor | Rhode Island | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Russell David Broccoli such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 90476 | Other | Rhode Island | BCBS |
| 204088 | Other | Rhode Island | BLUE CHIP |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 635 Hope Street,
Providence, Rhode Island |
| Zip: | 02906 |
| Phone Number: | 401-351-6390 |
| Fax Number: | 401-331-0614 |
Patients can reach Russell David Broccoli at
635 Hope Street, Providence, Rhode Island or can
call to book an appointment on 401-351-6390.
Comments/ Reviews:
Patients can read all the reviews posted for Russell David Broccoli below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Russell David Broccoli. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.