Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043227994 Individual Practitioner Male Practitioner

Dr. Daniel J Bourassa , DC PHD

Chiropractor • Gulf Breeze, FL

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Bourassa, DC PHD is a registered healthcare professional specializing in Chiropractor in Gulf Breeze, FL. Practice services are available at 103 NIGHTINGALE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

103 Nightingale Ln

Gulf Breeze, FL 325614300

Telephone 8502502730
Associated Practice Facility / Clinic
🏢 Deborah D. Viglione M.d., Llc Facility NPI 1871773572

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Gulf Breeze, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Gulf Breeze, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH 6116

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License For Florida
CH0006116 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kimberly Nipp , ARNP

Nurse Practitioner - Family

NPI 1013638030

Advanced Registered Nurse Practitioner

Amy Schram , NP-C

Nurse Practitioner - Family

NPI 1740833110

Nurse Practitioner (Certified)

Dr. Deborah Viglione , MD

Internal Medicine

NPI 1922104777

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 03, 2019

Registered at 103 NIGHTINGALE LN, GULF BREEZE, FL 325614300 (Tel: 8502502730)

📍
Updated Business Mailing Address June 03, 2019

Registered at 1400 E DE SOTO ST, PENSACOLA, FL 325013439 (Tel: 8502502730)

👤
Provider Name / Credentials Updated June 03, 2019

Recorded as DANIEL BOURASSA, DC PHD

NPI Profile Active December 27, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2010

Registered at 4400 BAYOU BLVD, SUITE 52A, PENSACOLA, FL 325032673 (Tel: 8504712225)

📍
Updated Business Mailing Address December 27, 2010

Registered at 4400 BAYOU BLVD, SUITE 52A, PENSACOLA, FL 325032673 (Tel: 8504712225)

👤
Provider Name / Credentials Updated December 27, 2010

Recorded as DANIEL BOURASSA, DC PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2010

Chiropractor (License #CH 6116 in FL)

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043227994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: June 03, 2019
Sole Proprietor: Yes

Mailing Address

1400 E De Soto St

Pensacola, FL 325013439

Phone: 8502502730

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.