David A. Boersma, D.C.P.A.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10083 Issued in FL

Practice address

1590 US 27 N
Avon Park, FL 33825-2151

Phone

(863) 453-5777

Fax

(863) 453-9737

NPI assigned

Feb 3, 2012

Last updated

Jul 6, 2012By 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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

W. Patrick Danzey, D.C.P.a.Group PAC ID 8123226099, 3 clinicians

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.

• W. Patrick Danzey, D.C.P.a.

  • Independent Medical Examiner Chiropractor
  • Avon Park, FL
  • NPI 1194031732
  Medicare reassignment Care Compare group NPD
• David a Boersma DC PA

  • Chiropractor
  • Avon Park, FL
  • NPI 1477460772
  NPD (past) Authorized official

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1841562071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 US 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252151",
            "telephone_number": "863-453-5777",
            "fax_number": "863-453-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 US 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252151",
            "telephone_number": "863-453-5777",
            "fax_number": "863-453-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERSMA",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy E. Wood DO PA
• Bruline Bikar-Lindquist
• Sandra Joyce Billings, LCSW
• Crystal Lynn Blankenship, MASSAGE THERAPIST
• Dana Suzanne Bledsoe-Gonzalez, LMT
• James Michael Brockwell, RD
• Joseph Thomas Brown II
• Michael Austin Brown, DMD
• Tiffany Lashae Brown
• Darius Burns

• Chiropractor in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.