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BAY DE NOC CHIROPRACTIC CENTER, P.C.
NPI 1306061296
Chiropractor in Gladstone, MI

Active since April 16, 2007
116 N 9TH ST, SUITE A, GLADSTONE, MI 49837(906) 428-9640(906) 428-9641 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bay De Noc Chiropractic Center, P.c. NPPES

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

BAY DE NOC CHIROPRACTIC CENTER, P.C. (NPI 1306061296) is a healthcare organization registered as a chiropractor in Gladstone, Michigan and active in the NPI registry since April 2007. The organization lists Kevin L Boudreau, Owner, as its authorized official.

NPPES Registry Identity

NPI1306061296
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBAY DE NOC CHIROPRACTIC CENTER, P.C.
Location Address116 N 9TH ST, SUITE AGladstone, MI 49837-1660
Mailing Address116 N 9th St, Suite AGladstone, MI 49837-1660 · (906) 428-9640 · Fax (906) 428-9641
Phone(906) 428-9640
Fax(906) 428-9641
Organization SubpartNo
Authorized OfficialKevin L BoudreauOwner · (906) 428-9640
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306061296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301008810
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.
116 N 9TH ST, Gladstone, MI 49837
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bay De Noc Chiropractic Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bay De Noc Chiropractic Center, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Boudreau, D.C.
Chiropractic
NPI 1679516223
116 N 9TH ST SUITE A
Gladstone, MI 49837
(906) 428-9640
✔ Accepts Medicare0.2 mi

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

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 Bay De Noc Chiropractic Center, P.C.'s NPI number?

The NPI number for Bay De Noc Chiropractic Center, P.C. is 1306061296. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Bay De Noc Chiropractic Center, P.C. located?

Bay De Noc Chiropractic Center, P.C. is located at 116 N 9th St Suite A, Gladstone, MI 49837. The listed phone number is (906) 428-9640.

What is Bay De Noc Chiropractic Center, P.C.'s specialty?

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

Is Bay De Noc Chiropractic Center, P.C. enrolled in Medicare?

Yes. Bay De Noc Chiropractic Center, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bay De Noc Chiropractic Center, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bay De Noc Chiropractic Center, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bay De Noc Chiropractic Center, P.C. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Bay De Noc Chiropractic Center, P.C. 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 Bay De Noc Chiropractic Center, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.