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Charles Broback

Physical Therapist Physical Therapist - Sports

8301 Golden Valley Rd Ste 202
Golden Valley , Minnesota 55427-4475

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Charles Broback

Physical Therapist Physical Therapist - Sports

8301 Golden Valley Rd Ste 202
Golden Valley , Minnesota 55427-4475

Write a Review Save Call

Charles Broback

Physical Therapist Physical Therapist - Sports

8301 Golden Valley Rd Ste 202
Golden Valley , Minnesota 55427-4475

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist
  • Physical Therapist - Sports

Languages spoken

  • English

Location

8301 Golden Valley Rd Ste 202 Golden Valley , Minnesota 55427-4475

First Address

  • Charles Broback
  • 717 2nd St Ne Apt 2
  • Minneapolis, MN
  • Zip : 55413-1907
  • Phone :

Second Address

  • Charles Broback
  • 8301 Golden Valley Rd Ste 202
  • Golden Valley, MN
  • Zip : 55427-4475
  • Phone : (763) 533-0833

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FAQs


Where did Charles Broback attend graduate school?

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Where did Charles Broback do his residency?

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Where did Charles Broback do his fellowship?

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Is Charles Broback board certified?

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What type of doctor is Charles Broback

Physical Therapist

In what state does Charles Broback practice in?

Minnesota

Where is Charles Broback ’s practice located?

8301 Golden Valley Rd Ste 202 , Golden Valley, Minnesota, 55427-4475

What is Charles Broback ’s gender?

Male

Is Charles Broback a sole practitioner?

No

Is Charles Broback accepting new patients?

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What languages does Charles Broback speak?

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Does Charles Broback accept insurance?

Yes, Charles Broback accepts insurance

Does Charles Broback offers telemedicine?

Charles Broback has not indicated if he offers telemedicine

What is Charles Broback ’s professional license number?

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What is Charles Broback ’s NPI number?

1154939171

Does Charles Broback have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225100000X Physical Therapist 11910 MN
N 2251S0007X Physical Therapist - Sports

National Provider Identifier

NPI 1154939171
Provider Name Charles Broback
First Address Minneapolis, MN 55413-1907
Second Address Golden Valley, MN 55427-4475
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/07/2020
Last Update Date 21/07/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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