Patrick Denis Bourlon, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

273239 Issued in OR

Practice address

233 SE Washington St
Hillsboro, OR 97123-4023

Phone

(503) 648-1088

Fax

(503) 648-0748

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2000

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Active Chiropractic and Rehabilitation, LLC

  • Chiropractor
  • Hillsboro, OR
  • NPI 1861707879
  Medicare reassignment NPD Authorized official
• William K. Plewes

  • Chiropractor
  • Hillsboro, OR
  • NPI 1174701767
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1710056791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 SE WASHINGTON ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234023",
            "telephone_number": "503-648-1088",
            "fax_number": "503-648-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 SE WASHINGTON ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234023",
            "telephone_number": "503-648-1088",
            "fax_number": "503-648-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURLON",
        "first_name": "PATRICK",
        "middle_name": "DENIS",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC MEDICARE NUMBER",
            "identifier": "R102368",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "023051002",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LABOR",
            "identifier": "0147111",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Botner, D.C.
• Michelle L Botsford, PT
• Luc Boudreau, PCA, LMHCA
• Kim Bouker
• Laurence Fenn Bourland Jr., D.C.
• Jason Bouwkamp, DPT
• Nancy M Bowen-Hicks, M.S. CCC-A
• Elyse Bowman
• Patricia K Bowman, PT
• Ammie Lee Boyd, LMT

• Chiropractor in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.