Gerald C Booth, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2480 Issued in OH

Practice address

55741 National Rd
Bridgeport, OH 43912-1528

Phone

(740) 633-9922

Fax

(740) 633-9924

NPI assigned

Dec 4, 2006

Last updated

Sep 30, 2024By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Booth Chiropractic

  • Chiropractor
  • Bridgeport, OH
  • NPI 1649449695
  Medicare reassignment NPD
• Dexter Chiropractic

  • Chiropractor
  • Marietta, OH
  • NPI 1396888145
  NPD (past)
• The Pain Management Clinic LLC

  • Pain Medicine (Anesthesiology) Physician
  • Cambridge, OH
  • NPI 1750435905
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1689732778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55741 NATIONAL RD",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121528",
            "telephone_number": "740-633-9922",
            "fax_number": "740-633-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55741 NATIONAL RD",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121528",
            "telephone_number": "740-633-9922",
            "fax_number": "740-633-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "GERALD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013230100",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019701",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Dawn Betts, BSW
• Donna Sue Blaney, NON-AGENCY PROVIDER
• Audrey Ann Bolin
• Kennedi Boone, BCBA
• Booth Chiropractic
• Bridgeport Exempted Village School District
• Bridgeport Eyecare LLC
• Brookside Volunteer Fire Department
• Charles K. Dematte DDS Inc
• Compassionate Care Center for Surgical Excellence

• Chiropractor in Bridgeport, OH
• Providers in Bridgeport, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.