Active NPI
William Damien Busold, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1467526673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2005025430
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
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.