Chotchai Boonkham MD PC
Chotchai Boonkham MD PC is a healthcare organization registered as Primary Care Clinic/Center in Bridgeton, MO, holding Type 2 (organization) NPI 1619248853 since 2012. The authorized official on file is Chotchai Boonkham, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619248853 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Chotchai Boonkham MD PC |
| Practice address | 3478 BRIDGELAND DR, SUITE 1, Bridgeton, MO, 63044 |
| Phone | 3142913717 |
| Fax | 3142911671 |
| Enumeration date | 2012-01-19 |
| Last updated in NPPES | 2012-01-19 |
Authorized official
| Name | Chotchai Boonkham |
|---|---|
| Title | Owner |
| Phone | 3142913717 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | 34210 | MO |
Copy-ready billing details
Provider: Chotchai Boonkham MD PC NPI: 1619248853 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 3478 BRIDGELAND DR, SUITE 1, Bridgeton, MO, 63044
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376647644 | Bruce Berwald | Individual | Internal Medicine Physician | Bridgeton, MO |
| 1417058959 | Chotchai Boonkham | Individual | Internal Medicine Physician | Bridgeton, MO |
| 1811084734 | David Berwald | Individual | General Practice Physician | Bridgeton, MO |
| 1447334875 | Michael Katsev | Individual | Dentist | Bridgeton, MO |
| 1548345838 | Berwald Surgical Medical Inc | Organization | Non-Pharmacy Dispensing Site | Bridgeton, MO |
| 1609071455 | Michael T Katsev DDS PC | Organization | General Practice Dentistry | Bridgeton, MO |
| 1033950738 | Riley Katsev | Individual | General Practice Dentistry | Bridgeton, MO |
Verify this record
Cross-check NPI 1619248853 against the authoritative CMS record: view Chotchai Boonkham MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Chotchai Boonkham MD PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-01-19.