Jarrett Bourque, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH15678 Issued in FL

Practice address

2704 Stone Ave
Deland, FL 32720-3803

Phone

(386) 956-3231

NPI assigned

Oct 8, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1063387231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 STONE AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 STONE AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203803",
            "telephone_number": "386-956-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURQUE",
        "first_name": "JARRETT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelani Blye
• Sheryl A Booher, AUD
• Latisha Y Bordley
• Graham Borysko, D.O.
• David Boules, DMD
• Krystal Boza, MSW
• Jaime Roberto Bracero, PHARMD
• Ivan L Bradley, RPH
• Michelle Bradt, LCSW
• Meghan Flannery Bramlett, LMT

• Chiropractor in Deland, FL
• Providers in Deland, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.