Prime Sports Med
NPI 1407354574ActiveOrganization· Chiropractor· Nampa, ID
Chiropractor in Nampa, Idaho, registered in NPPES in January 2018. The authorized official on file is Jacob Bower, DC, Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407354574 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2018 |
| Last updated in NPPES | May 25, 2021 |
| Certified by provider | May 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-1618 | ID |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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