Individual provider Active NPI

Phillip W. Boruff, DC

  • Chiropractor
  • Elwood, IN
National Provider Identifier
1346243607
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001111A Issued in IN
Practice address
518 S Anderson St
Elwood, IN 46036-2322
Phone
(765) 552-0004
Fax
(765) 552-5246
NPI assigned
May 31, 2005
Last updated
Nov 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001111A IN Primary

Addresses

Primary practice location

518 S Anderson St
Elwood, IN 46036-2322

Mailing address

PO Box 27
Elwood, IN 46036-0027
Phone (765) 552-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001111AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Centered of Scottsburg, Inc Chiropractor Past Accepting new patients
Major Hospital Past Accepting new patients
Elwood Chiropractic Chiropractor PastSince Dec 1, 2003 Accepting new patients
Health Centered Chiropractic Chiropractor Past Accepting new patients
Preventive Medicine, PC Chiropractor Past Accepting new patients
Drach Chiropractic, L.L.C. Chiropractor Past Accepting new patients

Organizations & group practices 6

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1346243607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460360027",
            "telephone_number": "765-552-0004",
            "fax_number": "765-552-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S ANDERSON ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460362322",
            "telephone_number": "765-552-0004",
            "fax_number": "765-552-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUFF",
        "first_name": "PHILLIP",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001111A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.