GEOFFREY KEITH BOERCKER MD NPI 1457618662

NPI Information

  • NPI: 1457618662
  • Provider Name: GEOFFREY KEITH BOERCKER, MD
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1050 LARRABEE AVE
    #104-PMB 317
    BELLINGHAM, WA
    ZIP 98225
  • Phone: (360) 220-1744

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NPI Details

Geoffrey Keith Boercker, MD is a psychiatry psychiatry neurology in Bellingham, WA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Geoffrey Keith Boercker, MD NPI is 1457618662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1050 LARRABEE AVE
#104-PMB 317
BELLINGHAM, WA
ZIP 98225-367
Phone: (360) 220-1744

The NPI 1457618662 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 11/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryMD00026779WASHINGTONNo
22084P0800XPsychiatry & NeurologyPsychiatryMD00026779WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A01953MEDICARE UPINWASHINGTON
20116494OTHERWASHINGTONLABOR AND INDUSTRIES
31102243MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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