Individual provider Active NPI

Prabhjot Kaur Bains, DC

  • Chiropractor
  • Medford, OR
National Provider Identifier
1689897548
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273538 Issued in OR
Practice address
2931 Doctors Park Dr
Medford, OR 97504
Phone
(541) 245-4444
NPI assigned
Apr 10, 2007
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273538 OR Primary

Addresses

Primary practice location

2931 Doctors Park Dr
Medford, OR 97504

Mailing address

PO Box 3160
Central Point, OR 97502-0006
Phone (541) 414-0362

Other practice location 1

2931 Doctors Park Dr
Medford, OR 97504
Phone (541) 245-4444

Other practice location 2

691 Murphy Rd Ste 128
Medford, OR 97504-4311
Phone (541) 245-4444

Other identifiers 3

IdentifierTypeStateIssuer
856434002OtherORBLUE CROSS OF OREGON
500628529MedicaidOR
J011401OtherORPACIFIC SOURCE

Other names 1

  • Dr. Joty Kaur Bains Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000740 OR Practitioner - Chiropractic 6103846233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Oregon Chiropractic LLCGroup PAC ID 0345281671, 7 clinicians

Practice addresses (Care Compare)

2931 Doctors Park Dr
Medford, OR 97504-8127
Phone (541) 245-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
273538ORMDChiropractor
3538ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Chiropractic, LLC Chiropractor CurrentSince Oct 1, 2005 Accepting new patients
Southern Oregon Childrens Clinic CurrentSince Feb 4, 2024 Accepting new patients
Southern Oregon Chiropractic - Klamath Falls Chiropractor CurrentSince Feb 4, 2024 Accepting new patients

Locations

1744 E McAndrews Rd
Ste D
Medford, OR 97504

2931 Doctors Park Dr
Medford, OR 97504
Phone (541) 245-4444

691 Murphy Rd
Ste 128
Medford, OR 97504
Phone (541) 245-4444

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1689897548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3160",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975020006",
            "telephone_number": "541-414-0362",
            "fax_number": "541-200-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 DOCTORS PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-245-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2931 Doctors Park Dr",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "97504",
            "country_code": "US",
            "telephone_number": "541-245-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "691 Murphy Rd Ste 128",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975044311",
            "country_code": "US",
            "telephone_number": "541-245-4444",
            "fax_number": "541-245-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAINS",
        "first_name": "PRABHJOT",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF OREGON",
            "identifier": "856434002",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500628529",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "J011401",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOTY",
            "last_name": "BAINS",
            "middle_name": "KAUR",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.