Individual provider Active NPI

William Damien Busold, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1467526673
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005025430 Issued in MO
Practice address
9800 Manchester Rd Ste B
Saint Louis, MO 63119-1253
Phone
(314) 647-3847
Fax
(314) 644-0449
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 2005025430 MO Primary

Addresses

Primary practice location

9800 Manchester Rd Ste B
Saint Louis, MO 63119-1253

Mailing address

9800 Manchester Rd Ste B
Saint Louis, MO 63119-1253
Phone (314) 647-3847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000064 MO Practitioner - Chiropractic 0941210041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brentwood Family Chiropractic Center, LLCGroup PAC ID 6002835469, 3 clinicians

Practice addresses (Care Compare)

9800 Manchester Rd
Suite B
Saint Louis, MO 63119-1253
Phone (314) 647-3847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1467526673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 MANCHESTER RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191253",
            "telephone_number": "314-647-3847",
            "fax_number": "314-644-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 MANCHESTER RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191253",
            "telephone_number": "314-647-3847",
            "fax_number": "314-644-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSOLD",
        "first_name": "WILLIAM",
        "middle_name": "DAMIEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005025430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.