IndividualActive
Michael Bouknight, DO
NPI 1629670302 · Pain Medicine Physician · East Norriton, PA
Provider details
- NPI number
- 1629670302
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD067370Y (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3012 Butchers Ln
East Norriton, PA 19401-1516
Phone: (402) 204-1517
Street-level locationGet directions
Mailing address
3012 Butchers Ln
East Norriton, PA 19401-1516
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.