P Praxis·MD
● Active Type 2 · Organization

Broadway Chiropractic Center Professional Association

Chiropractor·Boise, ID· NPI 1487794541 · Enumerated 2007 · 19 years on NPI
Broadway Chiropractic Center Professional Association is 1 of 1165 chiropractor organizations in Idaho.
NPI age
19 years
Enumerated 2007-02-07
Primary specialty
Chiropractor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rae
Owner/ President
Last NPPES update
2011-01-27
Source: monthly bulk 2026-05

How this organization compares

Across 1165 active chiropractor providers in Idaho.

NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1149 W Boise Ave
Boise, ID 837063503
📞 2083453630fax 2083453640
Mailing address
1149 W Boise Ave
Boise, ID 837063503
📞 2083453630fax 2083453640

Authorized official

Donald D Rae, D.C.
Owner/ President
📞 2083453630

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Chiropractor Primary
    A 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...
    ID license #C373 taxonomy 111N00000X

Identifiers

TypeValueNotes
01 (ID) C9511 BLUE CROSS
01 (ID) 000010145978 BLUE SHIELD

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Rae Chiropractic Center
    Type code 5 recorded 2011-01-27

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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