Legacy Chiropractic PLLC
NPI 1336713858 · Chiropractor · Eagle, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Chiropractic PLLC is a Chiropractor organization in Eagle, ID (NPI 1336713858).
Provider details
- NPI number
- 1336713858
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Brent Symes, Owner(206) 313-3733
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-19
- Last updated
- 2021-08-16
- Certified
- 2021-08-16
Frequently asked questions
- What is Legacy Chiropractic PLLC's NPI number?
- Legacy Chiropractic PLLC's National Provider Identifier (NPI) is 1336713858, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Chiropractic PLLC?
- Legacy Chiropractic PLLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Legacy Chiropractic PLLC located?
- Legacy Chiropractic PLLC's practice location on file with NPPES is 20 N Fisher Park Way Ste 100, Eagle, ID 83616-4709.
- What is Legacy Chiropractic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Chiropractic PLLC is (206) 313-3733.
- Does Legacy Chiropractic PLLC accept Medicare?
- Legacy Chiropractic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Chiropractic PLLC?
- The authorized official listed on Legacy Chiropractic PLLC's NPPES record is Brent Symes, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Chiropractic PLLC's NPI active?
- Yes — Legacy Chiropractic PLLC's NPI (1336713858) is active in the NPPES registry as of the last update on 2021-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.