NPI 1740330133 · live from the CMS NPI Registry
Gerard William Boehmer, D.C.
Chiropractor in Bridgeton, MO. National Provider Identifier 1740330133, active.
NPI record
| NPI | 1740330133 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 3394 Mckelvey Rd, Suite 108, Bridgeton, MO 63044 |
| Practice phone | 314-344-4438 |
| Enumerated | January 10, 2007 |
| Last updated | September 11, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 004872 (MO) |
| Chiropractor, Neurology | 111NN0400X | 004872 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.