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BRANDON TYLER BOON
NPI 1104689835
Chiropractor in Newtown Square, PA

Active since February 05, 2024
3605 WINDING WAY, NEWTOWN SQUARE, PA 19073(610) 325-6037 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1104689835
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBRANDON TYLER BOON
Location Address3605 WINDING WAYNewtown Square, PA 19073-4057
Mailing Address304 E Marshall StWest Chester, PA 19380-2472 · (610) 547-2100
Phone(610) 325-6037
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2023
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1104689835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC011899
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.
3605 WINDING WAY, Newtown Square, PA 19073
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Tyler Boon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406292986
PECOS Enrollment IDI20240306003149

Other Providers at the Same Location NPPES 2

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

STREAMLINE THERAPY
Physical Therapist
3605 WINDING WAY
NEWTOWN SQUARE, PA 19073
Delaware County (484) 321-6367
NIKOLAO MIKAELE SAVAIINAEA
Chiropractor
3605 WINDING WAY
NEWTOWN SQUARE, PA 19073
Delaware County (610) 325-6037

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.

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.