NPI age
19 years
Enumerated 2007-03-24
● Active
Type 1 · Individual
Gretchen Michelle Bly, D.C.
Bly is 1 of 28 chiropractor providers in Rexburg and 1 of 1165 in Idaho.
Primary specialty
Chiropractor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-08-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1165 active chiropractor providers in Idaho.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
105 W Main St
Rexburg, ID 834402634
Mailing address
105 W Main St
Rexburg, ID 834402634
Specialties
-
Chiropractor PrimaryA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 16711661 | MEDICARE GROUP PTAN |
| 05 (ID) | 806710900 | |
| 01 (ID) | 16753471 | MEDICARE PTAN |
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.