Individual provider Active NPI

Brooke Sharon Bogacz, DC

  • Chiropractor
  • Westport, MA
National Provider Identifier
1093500852
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013905 Issued in NY
Practice address
637 State Rd
Westport, MA 02790-2819
Phone
(508) 679-5500
Fax
(508) 679-6199
NPI assigned
Apr 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013905 NY Primary

Addresses

Primary practice location

637 State Rd
Westport, MA 02790-2819

Mailing address

5 Stanley St
Attleboro, MA 02703-5149
Phone (978) 602-0038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618001713 MA Practitioner - Chiropractic 0143731943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westport Chiropractic, IncGroup PAC ID 1052596327, 5 clinicians

Practice addresses (Care Compare)

637 State Rd
Westport, MA 02790-2819
Phone (508) 679-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013905NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Westport Chiropractic, Inc Chiropractor CurrentSince May 20, 2025 Accepting new patients
Back to Wellness LLC Chiropractor PastSince Apr 13, 2025 Accepting new patients

Locations

637 State Rd
Westport, MA 02790
Phone (508) 679-5500

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1093500852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STANLEY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027035149",
            "telephone_number": "978-602-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 STATE RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027902819",
            "telephone_number": "508-679-5500",
            "fax_number": "508-679-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGACZ",
        "first_name": "BROOKE",
        "middle_name": "SHARON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.