Individual provider Active NPI

Bruce Aaron Charest, D.C.

  • Chiropractor
  • Kimberling City, MO
National Provider Identifier
1295817179
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015043019 Issued in MO
Practice address
21 Kimberling Blvd
Kimberling City, MO 65686
Phone
(417) 739-4764
NPI assigned
Oct 19, 2006
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2015043019 MO Primary

Addresses

Primary practice location

21 Kimberling Blvd
Kimberling City, MO 65686

Mailing address

PO Box 765
Kimberling City, MO 65686-0765
Phone (417) 739-4764

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180609000058 MO Practitioner - Chiropractic 4789666777 Reassigns benefits to 1 organization
Practice locations: Kimberling City, MO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Resource GroupGroup PAC ID 6002068723, 12 clinicians

Practice addresses (Care Compare)

111 N Main St
Urbana, MO 65767-9152
Phone (417) 993-1002

18614 Jackson St
Hermitage, MO 65668-8204
Phone (417) 745-0103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Muskogee Chiropractic Hand & Foot Clinic, LLC Chiropractor CurrentSince May 18, 2025 Accepting new patients
Ozarks Resource Group CurrentSince May 1, 2024 Accepting new patients
Ozarks Resource Group CurrentSince May 1, 2024 Accepting new patients
Charest Chiropractic Chiropractor CurrentSince Nov 20, 2022 Accepting new patients
Palm Chiropractic & Wellness Inc Chiropractor Past Accepting new patients
Thorassic Park Chiropractor Past Accepting new patients
Thorassic Park, Inc PastSince May 1, 2016 Accepting new patients

Locations

38A Kimberling Ctr Ln
Unit 765
Kimberling City, MO 65686

25 W Okmulgee St
Muskogee, OK 74401
Phone (918) 682-8282

Organizations & group practices 7

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1295817179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "KIMBERLING CITY",
            "state": "MO",
            "postal_code": "656860765",
            "telephone_number": "417-739-4764",
            "fax_number": "417-739-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 KIMBERLING BLVD",
            "city": "KIMBERLING CITY",
            "state": "MO",
            "postal_code": "65686",
            "telephone_number": "417-739-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAREST",
        "first_name": "BRUCE",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015043019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kimberling City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.