Individual provider Active NPI

Christopher Boylan, D.C.

  • Chiropractor
  • Wernersville, PA
National Provider Identifier
1609802404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-006010-L Issued in PA
Practice address
367 W Penn Ave
Wernersville, PA 19565-1413
Phone
(610) 670-6333
Fax
(610) 670-8730
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-006010-L PA Primary

Addresses

Primary practice location

367 W Penn Ave
Wernersville, PA 19565-1413

Mailing address

367 W Penn Ave
Wernersville, PA 19565-1413
Phone (610) 670-6333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000061 PA Practitioner - Chiropractic 1254397904 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-006010-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
BB & L , LLC Chiropractor CurrentSince Jul 14, 2018 Accepting new patients

Locations

367 W Penn Ave
Wernersville, PA 19565
Phone (610) 670-6333

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609802404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 W PENN AVE",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651413",
            "telephone_number": "610-670-6333",
            "fax_number": "610-670-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 W PENN AVE",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651413",
            "telephone_number": "610-670-6333",
            "fax_number": "610-670-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "CHRISTOPHER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-006010-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wernersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.