Brandon Tyler Boon

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011899 Issued in PA

Practice address

3605 Winding Way
Newtown Square, PA 19073-4057

Phone

(610) 325-6037

NPI assigned

Feb 5, 2024

Last updated

Feb 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 PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Victor a. Sage, DC P.C.Group PAC ID 6709055221, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Victor a. Sage, DC P.C.

  dba Sage Clinic

  • Chiropractor
  • Newtown Square, PA
  • NPI 1518158013
  Medicare reassignment Care Compare group NPD
• Streamline Therapy

  • Physical Therapist
  • Newtown Square, PA
  • NPI 1245047265
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1104689835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E MARSHALL ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802472",
            "telephone_number": "610-547-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 WINDING WAY",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734057",
            "telephone_number": "610-325-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOON",
        "first_name": "BRANDON",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Blackburn, PT, DPT
• Elizabeth Helen Bland, MSW, LCSW
• Board of Supervisors Newtown Square Township
• Bridget Bolton, MA CCC-SLP
• Linda Jane Bonsall, M.ED.
• Bryan John Boosz, D.M.D.
• Heather Borchert
• Jerome Anthony Boscia, MD
• David Avery Bottger, MD
• Catherine Maria Bowen, BCBA

• Chiropractor in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Chiropractor in Pennsylvania

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