NPPES file of Aug 9, 2026

Jack Broaddus, ATC

Athletic Trainer · Ann Arbor, MI

Jack Broaddus, ATC is an athletic trainer with a practice address in Ann Arbor, Michigan, and NPI 1134805096, issued on Jun 26, 2023. Check the license (Michigan 2601002903, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1134805096
Name
Jack Broaddus
Credential
ATC
Primary taxonomy
Athletic Trainer 2255A2300X
License number
2601002903 MI
Self-reported in NPPES; status is on the state search
Practice location
1200 S State St, Ann Arbor, MI 48109
Phone
(734) 647-2583
Enumerated
Jun 26, 2023
Record last updated
Jun 26, 2023
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1200 S State St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nicole BonacorsoAthletic Trainer1679303648
  2. John Dorosario, MED., ATC.Specialist1811046642
  3. Griffin Haddad, ATCAthletic Trainer1386198414
  4. Lisa Hass, ATCAthletic Trainer1285603530
  5. Emily HooverAthletic Trainer1538497359
  6. Dylan Mathers, ATCAthletic Trainer1851919997

Verify Jack Broaddus in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 2601002903    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Athletic Trainer providers in Michigan

There are 1,522 athletic trainer records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 1,522 in Michigan → Every provider in Ann Arbor →

Other athletic trainer records in Michigan

  1. Zachary Abbott-MainFlint, MI1942864236
  2. Christa AbelsKalamazoo, MI1902208374
  3. Nabata Abubaker, CASE WORKERDearborn, MI1194423483
  4. Cory AckerMarquette, MI1265827067
  5. Jacob AdamsWestland, MI1811417637
  6. Lauren Adams, MAT, LAT, ATCHillsdale, MI1881400851
  7. Stephanie Adams, A.T.C.Commerce Township, MI1982895207
  8. Arthur AdkinsClio, MI1689063471
  9. Julie Agbabian, ATCAnn Arbor, MI1871641522
  10. Vahan Agbabian, MA, ATCAnn Arbor, MI1487759676

Common questions

What is Jack Broaddus, ATC's NPI number?

Jack Broaddus, ATC's National Provider Identifier (NPI) is 1134805096, issued on Jun 26, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Jack Broaddus, ATC located?

The NPPES record lists a practice address at 1200 S State St, Ann Arbor, MI, 48109. Phone: (734) 647-2583. Providers update this record themselves, so call before visiting.

How can I verify Jack Broaddus, ATC's license?

NPPES lists Michigan license number 2601002903, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.