Chad D. Buohl, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007522L Issued in PA

Legal business name

CHAD D. BUOHL, PC

Doing business as

East Berlin Chiropractic

Practice address

337 W King St
East Berlin, PA 17316-9730

Phone

(717) 259-8813

Fax

(717) 259-0988

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chad David Buohl, D.C.NPI 1386613925

Title

Chiropractor

Phone

(717) 259-8813

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• East Berlin Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad David Buohl, D.C.

  • Sports Physician Chiropractor
  • East Berlin, PA
  • NPI 1386613925
  Medicare reassignment NPD Authorized official
• Todd A Zeno, DPM

  • Podiatrist
  • Hanover, PA
  • NPI 1124089255
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598881260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173161010",
            "telephone_number": "717-259-8813",
            "fax_number": "717-259-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 W KING ST",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169730",
            "telephone_number": "717-259-8813",
            "fax_number": "717-259-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD D. BUOHL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUOHL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "717-259-8813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007522L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP KEYSTONE HMO",
            "identifier": "50030447",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "903165",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH TRIAD HEALTH AMERICA",
            "identifier": "10923906",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3478163",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7373065",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "50030447",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Berlin Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ars Environmental Services, Inc.
• Samantha Josephine Bowen, LCSW
• Michael Eugene Brown, MD
• Chad David Buohl, D.C.
• Lauren Michelle Cashman, M.D.
• Choice Critical Care RX LLC
• Lorena Diane Cockley, DDS
• Commonhealth Orthopedic Physical Therapy
• Kari Cover, LPC
• Philip M Derienzo, PHARM D

• Chiropractor in East Berlin, PA
• Providers in East Berlin, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.