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BRENDAN BOUCHER DC
NPI 1003641333
Chiropractor in Springfield, MO

Active since September 05, 2024Accepts Medicare Assignment
2144 E REPUBLIC RD STE A104, SPRINGFIELD, MO 65804(417) 887-8075(417) 887-8535 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brendan Boucher Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDAN BOUCHER DC (NPI 1003641333) is an individual chiropractor in Springfield, Missouri, licensed in Missouri (20240363625) and active in the NPI registry since September 2024. He is a graduate of Cleveland Chiropractic College - Kansas City (2024).

NPPES Registry Identity

NPI1003641333
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBRENDAN BOUCHERCredential: DC
Location Address2144 E REPUBLIC RD STE A104Springfield, MO 65804-4645
Mailing Address2144 E Republic Rd Ste A104Springfield, MO 65804-4645 · (417) 887-8075 · Fax (417) 887-8535
Phone(417) 887-8075
Fax(417) 887-8535
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2024
Enumeration DateSeptember 5, 2024
NPPES CertifiedSeptember 5, 2024
✔ NPI 1003641333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 20240363625
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2144 E REPUBLIC RD STE A104, Springfield, MO 65804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brendan Boucher Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890226021
PECOS Enrollment IDI20240930000829

Medicare Billing Reassignment

Medicare enrollment records show Brendan Boucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Loehr Chiropractic And Acupuncture, LLC
3.3 mi
Chiropractor
3021 E SUNSHINE ST
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 9 clinicians in this Medicare group
NPI 1649696121 (417) 887-8075

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN DAVID CORTEZ
Chiropractor
2144 E REPUBLIC RD STE A104
SPRINGFIELD, MO 65804
Greene County (417) 887-8075
LOEHR FAMILY BIRTH AND WELLNESS LLC
Clinic/Center (Birthing)
2144 E REPUBLIC RD STE A104
SPRINGFIELD, MO 65804
Greene County (417) 887-8075
LOEHR DURABLE MEDICAL EQUIPMENT LLC
Durable Medical Equipment & Medical Supplies
2144 E REPUBLIC RD STE A104
SPRINGFIELD, MO 65804
Greene County (417) 887-8075
ERICA BELL
Chiropractor
2144 E REPUBLIC RD STE A104
SPRINGFIELD, MO 65804
Greene County (417) 887-8075
LINDSAY NICOLE BOGUE DC
Chiropractor
2144 E REPUBLIC RD STE A104
SPRINGFIELD, MO 65804
Greene County (417) 887-8075
BLANE RICHARD CARTER DC
Chiropractor
2144 E REPUBLIC RD STE A104
SPRINGFIELD, MO 65804
Greene County (417) 887-8075
JAMES CRAWFORD DC
Chiropractor
2144 E REPUBLIC RD STE A104
SPRINGFIELD, MO 65804
Greene County (417) 887-8075
ADAM ST. PETER DC
Chiropractor
2144 E REPUBLIC RD STE A104
SPRINGFIELD, MO 65804
Greene County (417) 887-8075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brendan Boucher's NPI number?

The NPI number for Brendan Boucher is 1003641333. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Where is Brendan Boucher located?

Brendan Boucher practices at 2144 E Republic Rd Ste A104, Springfield, MO 65804. The listed phone number is (417) 887-8075.

What is Brendan Boucher's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Brendan Boucher enrolled in Medicare?

Yes. Brendan Boucher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brendan Boucher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Boucher reassigns Medicare benefits to Loehr Chiropractic And Acupuncture, LLC (Springfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brendan Boucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendan Boucher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Brendan Boucher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brendan Boucher was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.