BRANDON TYLER BOON
NPI 1104689835
Chiropractor in Newtown Square, PA
About Brandon Tyler Boon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON TYLER BOON (NPI 1104689835) is an individual chiropractor in Newtown Square, Pennsylvania, licensed in Pennsylvania (DC011899) and active in the NPI registry since February 2024. He is a graduate of Palmer College Chiropractic - Davenport (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brandon Tyler Boon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brandon Boon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 3 clinicians in this Medicare group
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brandon Boon's NPI number?
The NPI number for Brandon Boon is 1104689835. It was assigned to this individual provider in the NPPES registry on February 5, 2024.
Where is Brandon Boon located?
Brandon Boon practices at 3605 Winding Way, Newtown Square, PA 19073. The listed phone number is (610) 325-6037.
What is Brandon Boon's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Brandon Boon enrolled in Medicare?
Yes. Brandon Boon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brandon Boon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Boon reassigns Medicare benefits to Victor A. Sage, Dc P.C. (Newtown Square, PA). 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 Brandon Boon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brandon Boon was last updated on February 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.
# Brandon Tyler Boon · NPI 1104689835
Chiropractor provider in Newtown Square, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 5, 2024.
## Identity
- **NPI:** 1104689835 (Entity type: Individual)
- **Enumerated:** February 5, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** DC011899 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3605 WINDING WAY, Newtown Square, PA 19073-4057
- **Phone:** (610) 325-6037
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Victor A. Sage, Dc P.C. (NPI 1518158013, Newtown Square, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2023
## Record status
- **NPPES last updated:** February 5, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1104689835) · Data from the CMS NPPES public registry.