Lawrence Bouma, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 001387 L Issued in PA

Practice address

102 Christy Park Dr
Indiana, PA 15701-1584

Phone

(724) 465-4080

Fax

(724) 465-6923

NPI assigned

Jul 29, 2005

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Palmer College Chiropractic - Davenport, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Bouma Chiropractic Clinic, P.C.

  • Chiropractor
  • Indiana, PA
  • NPI 1043258049
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1255331393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CHRISTY PARK DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011584",
            "telephone_number": "724-465-4080",
            "fax_number": "724-465-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHRISTY PARK DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011584",
            "telephone_number": "724-465-4080",
            "fax_number": "724-465-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUMA",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 001387 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Chiropractic Limited
• Keisha Boston, BA
• Paul Jacob Boston, D.C.
• Jennifer L Bottegal, MSW, LSW
• Bouma Chiropractic Clinic, P.C.
• Lyndsay Nicole Bowers, B.S.
• Jennifer J Bowman, PHARMD
• Bowser Counseling and Wellness LLC
• Melissa D Bowser
• Aeja Marie Boyd, LAPC

• Chiropractor in Indiana, PA
• Providers in Indiana, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.