Clayton Andrew Boulds

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038014394 Issued in IL

Practice address

303 S Commercial St Ste 10
Harrisburg, IL 62946-2125

Phone

(618) 252-5555

NPI assigned

Dec 29, 2025

Last updated

Dec 29, 2025By the provider in NPPES

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 IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Health of Southern Illinois LTDGroup PAC ID 2365401122, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Health of Southern Illinois, LTD.

  • Sports Medicine (Family Medicine) Physician
  • Harrisburg, IL
  • NPI 1982738274

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Integrated Health of Southern Illinois

  • Family Medicine Physician
  • Carterville, IL
  • NPI 1790235497

  Chiropractor

  NPD

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1689530248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S COMMERCIAL ST STE 10",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462125",
            "telephone_number": "618-252-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S COMMERCIAL ST STE 10",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462125",
            "telephone_number": "618-252-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULDS",
        "first_name": "CLAYTON",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038014394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ty D Biggs, DC
• Bio-Medical Applications of Illinois, Inc. (Fresenius Medical Care Saline County)
• Sarah Bittle, OD
• Farrah Renee Blair, RN
• Ella Corrine Bosler, MCD, CCC-SLP
• Brad McMillin, Inc. (Beltone Hearing Aid Service)
• Brooke Brasier
• Brookstone Estates of Harrisburg
• Brookstone Estates of Harrisburg, LLC
• Amanda Jo Brown, NP

• Chiropractor in Harrisburg, IL
• Providers in Harrisburg, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.