Andrew Bonneau

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13061 Issued in FL

Practice address

2415 S Volusia Ave Ste A2
Orange City, FL 32763-7623

Phone

(386) 775-6879

NPI assigned

Feb 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stowe Chiropractic LLCGroup PAC ID 0648701433, 3 clinicians

Sommers Chiropractic LLCGroup PAC ID 4789950320, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sommers Chiropractic LLC

  • Chiropractor
  • South Burlington, VT
  • NPI 1952810509
  Medicare reassignment Care Compare group NPD
• Stowe Chiropractic LLC

  • Chiropractor
  • Stowe, VT
  • NPI 1134961188
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1609408988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 YORKTOWNE BLVD APT 3704",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 S VOLUSIA AVE STE A2",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637623",
            "telephone_number": "386-775-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEAU",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris M Bly, DO
• Megan Boisvert
• Brian Bolinger, M.D.
• Vanessa Angelica Bombiella
• Allison Bonilla, LCSW
• Bourne Family Chiropractic and Wellness Center
• Ashley S Bourne, DC
• Priscilla Kristine Bovi, LMHC
• Ashley Bowman
• Kurt H Bowman, MD

• Chiropractor in Orange City, FL
• Providers in Orange City, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.