Individual provider Active NPI

Jay Jerald Bleil, DC

  • Chiropractor
  • Ida Grove, IA
National Provider Identifier
1437216801
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
IA 05698 Issued in IA
Practice address
616 2ND St
Ida Grove, IA 51445-1012
Phone
(712) 364-2508
Fax
(712) 364-2198
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IA 05698 IA Primary

Addresses

Primary practice location

616 2ND St
Ida Grove, IA 51445-1012

Mailing address

616 2ND St
Ida Grove, IA 51445-1012
Phone (712) 364-2508

Other identifiers 1

IdentifierTypeStateIssuer
1104497MedicaidIA

Other names 1

  • Jerald Jay Bleil Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123001306 IA Practitioner - Chiropractic 2961467469 Reassigns benefits to 1 organization
Practice locations: Ida Grove, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ida Family Chiropractic IncorporatedGroup PAC ID 1850510264, 2 clinicians

Practice addresses (Care Compare)

616 2ND St
Ida Grove, IA 51445-1012
Phone (712) 364-2508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IA 05698IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ida Family Chiropractic Incorporated Chiropractor CurrentSince Aug 1, 2014 Accepting new patients

Locations

616 2nd St
Ida Grove, IA 51445
Phone (712) 364-2508

633 1st St
Ste B
Sergeant Bluff, IA 51054
Phone (712) 943-3081

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1437216801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451012",
            "telephone_number": "712-364-2508",
            "fax_number": "712-364-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451012",
            "telephone_number": "712-364-2508",
            "fax_number": "712-364-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEIL",
        "first_name": "JAY",
        "middle_name": "JERALD",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "IA 05698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104497",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERALD",
            "last_name": "BLEIL",
            "middle_name": "JAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ida Grove, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.