Organization Active NPI

Bluffs Chiropractic Clinic, P.C.

  • Chiropractor
  • Scottsbluff, NE
National Provider Identifier
1326252008
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
861 Issued in NE
Legal business name
BLUFFS CHIROPRACTIC CLINIC, P.C.
Practice address
226 W 38TH St
Scottsbluff, NE 69361-4625
Phone
(308) 632-7094
Fax
(308) 632-2961
NPI assigned
May 10, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Brook Matthew Bowhay, DC
Title
President
Phone
(308) 632-7094

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 861 NE Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 847 NE

Addresses

Primary practice location

226 W 38TH St
Scottsbluff, NE 69361-4625

Mailing address

226 W 38TH St
Scottsbluff, NE 69361-4625
Phone (308) 632-7094

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000661 NE Part B Supplier - Clinic/Group Practice 5193812154 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsbluff, NE

National Provider Directory

National Provider Directory

Locations

226 W 38th St
Scottsbluff, NE 69361
Phone (308) 632-7094

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1326252008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W 38TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614625",
            "telephone_number": "308-632-7094",
            "fax_number": "308-632-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W 38TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614625",
            "telephone_number": "308-632-7094",
            "fax_number": "308-632-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFS CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "BOWHAY",
        "authorized_official_first_name": "BROOK",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-632-7094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "861",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.