Individual provider Active NPI

David Paul Bourree, D.C.

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1033172341
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2225 Issued in WA
Practice address
12841 NE 85TH St
Kirkland, WA 98033-8009
Phone
(425) 827-0334
Fax
(425) 893-8046
NPI assigned
Apr 8, 2006
Last updated
Jul 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2225 WA Primary

Addresses

Primary practice location

12841 NE 85TH St
Kirkland, WA 98033-8009

Mailing address

12841 NE 85TH St
Kirkland, WA 98033-8009
Phone (425) 827-0334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060417000085 WA Practitioner - Chiropractic 2466343256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12841 NE 85TH St
Kirkland, WA 98033-8009
Phone (425) 827-0334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2225WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bourree Services PS Chiropractor Current Accepting new patients

Locations

634 7th Ave
Kirkland, WA 98033
Phone (425) 336-4113

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1033172341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12841 NE 85TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338009",
            "telephone_number": "425-827-0334",
            "fax_number": "425-893-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12841 NE 85TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338009",
            "telephone_number": "425-827-0334",
            "fax_number": "425-893-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURREE",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.