Premier Health Systems PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1046 Issued in ID

Legal business name

PREMIER HEALTH SYSTEMS PLLC

Practice address

1149 W Boise Ave
Boise, ID 83706-3503

Phone

(208) 345-3630

Fax

(208) 345-3640

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Rae, D.C.NPI 1598802753

Title

Doctor, Owner

Phone

(208) 345-3630

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian J Rae, D.C.

  • Chiropractor
  • Boise, ID
  • NPI 1598802753
  Medicare reassignment NPD Authorized official
• Erin M Rae, R.D.

  • Registered Dietitian
  • Boise, ID
  • NPI 1912238049

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1891909636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 W BOISE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063503",
            "telephone_number": "208-345-3630",
            "fax_number": "208-345-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 W BOISE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063503",
            "telephone_number": "208-345-3630",
            "fax_number": "208-345-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SYSTEMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR, OWNER",
        "authorized_official_telephone_number": "208-345-3630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1046",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "895294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C9689",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010161294",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Cameron Preece, L.M.F.T.
• Preferred Community Homes, LLC
• Preferred Community Homes, LLC
• Marisa Preisler
• Tessa Prejeant
• Premier Physical Therapy Inc
• Premier Surgical Center, Inc
• Premiere Case Management
• Premise Health of Colorado Medical, P.C.
• Premium Support Services Inc

• Chiropractor in Boise, ID
• Providers in Boise, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.