Brendan Boucher, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20240363625 Issued in MO

Practice address

2144 E Republic Rd Ste A104
Springfield, MO 65804-4645

Phone

(417) 887-8075

Fax

(417) 887-8535

NPI assigned

Sep 5, 2024

Last updated

Sep 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Loehr Chiropractic and Acupuncture LLCGroup PAC ID 4486969748, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• IL PPO Downstate
• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• IA HMO C-SNP
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IA HMO

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABFDCD/Endpoint/ABFDCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Loehr Chiropractic and Acupuncture, LLC

  • Chiropractor
  • Springfield, MO
  • NPI 1649696121
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1003641333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 E REPUBLIC RD STE A104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044645",
            "telephone_number": "417-887-8075",
            "fax_number": "417-887-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 E REPUBLIC RD STE A104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044645",
            "telephone_number": "417-887-8075",
            "fax_number": "417-887-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "BRENDAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "20240363625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weston Robert Boswell
• Marcy A. Bot-Baron, ANP
• William Gregory Bottom, ANP-BC
• Amy Catherine Bouchard
• Hailey Bouchard
• Amanda Marie Bouchey I
• Craig F Boughton, PSY.D.
• Angela Renee Bounds
• Melanie Bowden, MS, CCC-SLP
• Bailey Bowe, ATC

• Chiropractor in Springfield, MO
• Providers in Springfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.