Jordan Brooks Linder, D.C.
Individual provider Active NPI Chiropractor · Bigfork, MT
NPI 1811054547 · NPPES record last updated Mar 28, 2008
Key facts
- NPI
- 1811054547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1180 (MT)
- Practice address
- 102 Church St
Bigfork, MT 59911-3565 - Phone
- (563) 271-5421
- Fax
- (563) 271-5421
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
118 1St Ave W
Kalispell, MT 59901-4442
Phone (406) 752-3120
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090605000342 | MT | Practitioner - Chiropractic | 2062515992 | Practice locations: Kalispell, MT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1180 | MT | MD | Chiropractor |
| 4275 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Concepts Inc | Chiropractor | Past | Accepting new patients |
| Breitbach Dragosh Chiropractic Clinic, S.C. | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4275 | WI | |
| Chiropractor | 111N00000X | 1180 | MT | Yes |
Addresses
Primary practice location
102 Church St
Bigfork, MT 59911-3565
Mailing address
PO Box 2144
Bigfork, MT 59911-2144
Phone (563) 271-5421
Other providers in Bigfork, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.