Broadway Chiropractic Center Professional Association
NPI 1487794541ActiveOrganization· Chiropractor· Boise, ID
Chiropractor in Boise, Idaho, registered in NPPES in February 2007. The authorized official on file is Donald D. Rae, D.C., Owner/ President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487794541 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2007 |
| Last updated in NPPES | Jan 27, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | C373 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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