NPIMap

Organization Active NPI

Brad Jamison Chiropractic, P.L.L.C.

  • Chiropractor
  • Idaho Falls, ID
National Provider Identifier
1265745244
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA467 Issued in ID
Legal business name
BRAD JAMISON CHIROPRACTIC, P.L.L.C.
Practice address
671 S Woodruff Ave
Idaho Falls, ID 83401-5596
Phone
(208) 552-2584
Fax
(208) 529-3992
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nolan Bradley Jamison, D.C.NPI 1417972514
Title
Doctor / Owner
Phone
(208) 552-2584

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA467 ID Primary

Addresses

Primary practice location

671 S Woodruff Ave
Idaho Falls, ID 83401-5596

Mailing address

671 S Woodruff Ave
Idaho Falls, ID 83401-5596
Phone (208) 552-2584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100804001237 ID Part B Supplier - Clinic/Group Practice 9234262650 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory

Locations

671 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 243-9294

Practitioners & affiliated clinicians

Practitioners 5

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": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1265745244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015596",
            "telephone_number": "208-552-2584",
            "fax_number": "208-529-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015596",
            "telephone_number": "208-552-2584",
            "fax_number": "208-529-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD JAMISON CHIROPRACTIC, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "DOCTOR / OWNER",
        "authorized_official_telephone_number": "208-552-2584",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.

Verify at the official NPI Registry.