BRANDON TYLER BOON – Chiropractor, NPI 1104689835

BRANDON TYLER BOON is a healthcare provider. based in West chester, Pennsylvania. specializing in CHIROPRACTIC. They hold a License No. DC011899 (PA). The NPI Number for BRANDON TYLER BOON is 1104689835

Main info

Male
3 Years Of Experience
Name
BRANDON TYLER BOON
NPI
1104689835
Phone
(610) 547-2100
Address
304 E MARSHALL ST
Enumeration Date
5 February 2024
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
6103256037
Graduation Year
2023 (3 years ago)
PAC ID
6406292986
Group Practice PAC ID
6709055221
Professional Enrollment ID
I20240306003149
Address ID
PA190733820NE3605XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,950 CHIROPRACTIC in PA

Provider Addresses for BRANDON TYLER BOON

  • 304 E MARSHALL ST

    WEST CHESTER, PA 193802472

    Phone: (610) 547-2100

    Type: Mailing

  • 3605 WINDING WAY

    NEWTOWN SQUARE, PA 190734057

    Phone: (610) 325-6037

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240306003149IChiropracticPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19380)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709055221View full group profile
NameSpecialtyState
C H I R O P R A C T I CPA

Reviews

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Frequently asked questions

Can I use this page to confirm BRANDON TYLER BOON's NPI?
Yes. BRANDON TYLER BOON is listed with NPI 1104689835 in the public NPI dataset.
Does the file indicate BRANDON TYLER BOON is practicing under active NPI?
Directory data currently reports BRANDON TYLER BOON as active.
What is BRANDON TYLER BOON's primary classification?
Chiropractor is the headline specialty for BRANDON TYLER BOON here. Clinical services aligned with this taxonomy classification.
Does BRANDON TYLER BOON list a practice location?
Patients near West Chester, Pennsylvania may find BRANDON TYLER BOON in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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