Jerry Brent Cramer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-381 Issued in ID

Practice address

8305 Northview St
Boise, ID 83704-7133

Phone

(208) 377-2266

Fax

(208) 377-2268

NPI assigned

Jan 19, 2007

Last updated

Jan 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Cramer Chiropractic PA

  • Chiropractor
  • Boise, ID
  • NPI 1669658019
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1942353347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 NORTHVIEW ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047133",
            "telephone_number": "208-377-2266",
            "fax_number": "208-377-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 NORTHVIEW ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047133",
            "telephone_number": "208-377-2266",
            "fax_number": "208-377-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "JERRY",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010008192",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "C3811",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig D. Blaisdell, DDS, PLLC
• Amanda Jean Craig, OTR/L
• Kay Craig, PT
• Cramer Chiropractic PA
• Theresa M Cramer Coulter, D.C.
• John Preston Cramer, LPC
• Julie Ann Crandall
• Kathleen M Crane, CRNFA
• Kendall Mark Crane, PHARM.D.
• Gary Craner, LAT

• 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 Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.