Individual provider Active NPI

Brooke Lynae Boyer, DC

  • Chiropractor
  • Lafayette, IN
National Provider Identifier
1366113441
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13723 Issued in FL
Practice address
2122 Veterans Memorial Pkwy S Ste C
Lafayette, IN 47909-9339
Phone
(765) 471-7000
Fax
(765) 250-3414
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 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 13723 FL Primary

Addresses

Primary practice location

2122 Veterans Memorial Pkwy S Ste C
Lafayette, IN 47909-9339

Mailing address

2122 Veterans Memorial Pkwy S Ste C
Lafayette, IN 47909-9339
Phone (765) 471-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223002655 IN Practitioner - Chiropractic 5294124939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2122 Veterans Memorial Pkwy S
Suite C
Lafayette, IN 47909-9339
Phone (765) 471-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13723FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Chiropractic LLC Chiropractor CurrentSince Nov 18, 2024 Accepting new patients
Healistic, LLC Chiropractor CurrentSince Dec 21, 2025 Accepting new patients
Modern Health Chiropractic L.L.C Chiropractor Past Accepting new patients

Locations

2122 Veterans Memorial Pkwy S
Ste C
Lafayette, IN 47909
Phone (765) 227-2454

Organizations & group practices 3

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1366113441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 VETERANS MEMORIAL PKWY S STE C",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479099339",
            "telephone_number": "765-471-7000",
            "fax_number": "765-250-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 VETERANS MEMORIAL PKWY S STE C",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479099339",
            "telephone_number": "765-471-7000",
            "fax_number": "765-250-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "BROOKE",
        "middle_name": "LYNAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

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