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DR. SEBASTIAN M BOURONCLE DDS
NPI 1932245511
Dentist - General Practice in Stafford, VA

Active since January 30, 2007PECOS Enrolled
385 GARRISONVILLE RD, SUITE 108, STAFFORD, VA 22554(540) 657-7645(540) 657-1009 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Sebastian M Bouroncle Dds NPPES

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

DR. SEBASTIAN M BOURONCLE DDS (NPI 1932245511) is an individual general practice provider in Stafford, Virginia, licensed in Virginia (0401411466) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932245511
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SEBASTIAN M BOURONCLECredential: DDS
Location Address385 GARRISONVILLE RD, SUITE 108Stafford, VA 22554-1545
Mailing Address42 Davenport Dr, Apt # 303Stafford, VA 22554-7180
Phone(540) 657-7645
Fax(540) 657-1009
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932245511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401411466
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
385 GARRISONVILLE RD, Stafford, VA 22554
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sebastian M Bouroncle Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

MRS. PATRICIA ELAINE KEATING LPC, NCC
Counselor (Professional)
385 GARRISONVILLE RD, SUITE 113
STAFFORD, VA 22554
Stafford County (540) 657-1228
NADINE M LUPTON L.C.S.W.
Social Worker (Clinical)
385 GARRISONVILLE RD, SUITE 113
STAFFORD, VA 22554
Stafford County (540) 657-1228
RACHEL ANNE DONNELLY-MORRISON LCSW
Counselor (Mental Health)
385 GARRISONVILLE RD, SUITE 112
STAFFORD, VA 22554
Stafford County (540) 658-9122
MRS. KAROLA THURMAN LCSW
Social Worker (Clinical)
385 GARRISONVILLE RD, 113
STAFFORD, VA 22554
Stafford County (540) 657-1228
SASAN AHMADIYAR DDS & ASSOCIATES
Dentist (Periodontics)
385 GARRISONVILLE RD, SUITE 108
STAFFORD, VA 22554
Stafford County (540) 657-7645
DR. MEREDITH KRAUSE PH.D.
Psychologist (Clinical)
385 GARRISONVILLE RD, SUITE 113
STAFFORD, VA 22554
Stafford County (540) 657-1228
FAMILY FIRST HEALTH CARE
Nurse Practitioner (Family)
385 GARRISONVILLE RD, SUITE 205
STAFFORD, VA 22554
Stafford County (540) 287-1071
DR. JERRY BENNETT LEVY OD
Optometrist
385 GARRISONVILLE RD, SUITE 100
STAFFORD, VA 22554
Stafford County (540) 659-3104

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 Sebastian Bouroncle's NPI number?

The NPI number for Sebastian Bouroncle is 1932245511. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Sebastian Bouroncle located?

Sebastian Bouroncle practices at 385 Garrisonville Rd Suite 108, Stafford, VA 22554. The listed phone number is (540) 657-7645.

What is Sebastian Bouroncle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sebastian Bouroncle enrolled in Medicare?

Yes. Sebastian Bouroncle is registered in the Medicare PECOS enrollment system.

What insurance does Sebastian Bouroncle accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Sebastian Bouroncle 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 Sebastian Bouroncle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.