Individual provider Active NPI

Michael David Bourbonnais, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1801966270
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003244 Issued in WA
Practice address
7116 Woodlawn Ave NE
Seattle, WA 98115-5435
Phone
(206) 522-6240
Fax
(206) 926-7899
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003244 WA Primary

Addresses

Primary practice location

7116 Woodlawn Ave NE
Seattle, WA 98115-5435

Mailing address

7116 Woodlawn Ave NE
Seattle, WA 98115-5435
Phone (206) 522-6240

Other practice location 1

4755 Fauntleroy Way SW Ste 120
Seattle, WA 98116-4669
Phone (206) 946-1323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletes Performance Center PS Chiropractor CurrentSince Nov 7, 2025 Accepting new patients
Michael Bourbonnais PS Chiropractor PastSince Jan 17, 2012 Accepting new patients

Locations

7116 Woodlawn Ave NE
Seattle, WA 98115
Phone (206) 522-6240

4755 Fauntleroy Way SW
Ste 120
Seattle, WA 98116
Phone (206) 946-1323

Organizations & group practices 2

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1801966270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 WOODLAWN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155435",
            "telephone_number": "206-522-6240",
            "fax_number": "206-926-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 WOODLAWN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155435",
            "telephone_number": "206-522-6240",
            "fax_number": "206-926-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Fauntleroy Way SW Ste 120",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981164669",
            "country_code": "US",
            "telephone_number": "206-946-1323",
            "fax_number": "206-926-7908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURBONNAIS",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.