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MR. ANDRE P BOULOGNE DC
NPI 1225175458
Chiropractor in Brighton, MA

Active since January 30, 2007Accepts Medicare Assignment
167 COREY ROAD, BRIGHTON, MA 02135(617) 731-5000(617) 731-3945 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Andre P Boulogne Dc NPPES

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

MR. ANDRE P BOULOGNE DC (NPI 1225175458) is an individual chiropractor in Brighton, Massachusetts, licensed in Massachusetts (1878) and active in the NPI registry since January 2007. He is a graduate of Life Chiropractic College (1994).

NPPES Registry Identity

NPI1225175458
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. ANDRE P BOULOGNECredential: DC
Location Address167 COREY ROADBrighton, MA 02135
Mailing Address167 Corey RoadBrighton, MA 02135 · (617) 731-5000 · Fax (617) 731-3945
Phone(617) 731-5000
Fax(617) 731-3945
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 1994
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225175458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MA · 1878
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.

167 COREY ROAD, Brighton, MA 02135
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Other Identifiers 1

Medicare ID-Type UnspecifiedY36344MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Andre P Boulogne 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 ID1254515687
PECOS Enrollment IDI20110411000151

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
492 services59 patients

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 Andre Boulogne's NPI number?

The NPI number for Andre Boulogne is 1225175458. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Andre Boulogne located?

Andre Boulogne practices at 167 Corey Road, Brighton, MA 02135. The listed phone number is (617) 731-5000.

What is Andre Boulogne's specialty?

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

Is Andre Boulogne enrolled in Medicare?

Yes. Andre Boulogne 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.

When was this NPI record last updated?

The NPPES record for Andre Boulogne was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.