Active NPI
Bitterroot Regional Chiropractic PLLC
- Clinic/Center
- Salmon, ID
National Provider Identifier
1083899124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- CHIA 1282
- Legal business name
- BITTERROOT REGIONAL CHIROPRACTIC PLLC
- Practice address
- 818 Main St
Suite F
Salmon, ID 83467-4350 - Phone
- (208) 756-1428
- NPI assigned
- Jan 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Barry, DC
- Title
- Member/Manager
- Phone
- (208) 756-1428
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | CHIA 1282 | ID | Primary |
Addresses
Primary practice location
818 Main St
Suite F
Salmon, ID 83467-4350
Mailing address
818 Main St
Suite F
Salmon, ID 83467-4350
Phone (208) 756-1428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080313000649 | ID | Part B Supplier - Clinic/Group Practice | 0446335558 |
Receives reassigned benefits from 2 practitioners Practice locations: Hailey, ID; Salmon, ID |
National Provider Directory
National Provider DirectoryLocations
1911 Main St
Salmon, ID 83467
Phone (208) 303-6616
818 Main St
Ste F
Salmon, ID 83467
Phone (208) 756-1428
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1083899124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 MAIN ST",
"address_2": "SUITE F",
"city": "SALMON",
"state": "ID",
"postal_code": "834674350",
"telephone_number": "208-756-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 MAIN ST",
"address_2": "SUITE F",
"city": "SALMON",
"state": "ID",
"postal_code": "834674350",
"telephone_number": "208-756-1428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BITTERROOT REGIONAL CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "BARRY",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "MEMBER/MANAGER",
"authorized_official_telephone_number": "208-756-1428",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "ID",
"license": "CHIA 1282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salmon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.