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BRIDGEWATER CHIROPRACTIC AND SOFT TISSUE CENTER PLLC
NPI 1093167280
Chiropractor in Post Falls, ID

Active since July 12, 2016
640 N THORNTON ST, POST FALLS, ID 83854(208) 262-8166 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bridgewater Chiropractic And Soft Tissue Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGEWATER CHIROPRACTIC AND SOFT TISSUE CENTER PLLC (NPI 1093167280) is a healthcare organization registered as a chiropractor in Post Falls, Idaho and active in the NPI registry since July 2016. The organization lists Jedediah Badders, Owner, as its authorized official.

NPPES Registry Identity

NPI1093167280
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBRIDGEWATER CHIROPRACTIC AND SOFT TISSUE CENTER PLLC
Location Address640 N THORNTON STPost Falls, ID 83854
Mailing Address640 N Thornton StPost Falls, ID 83854
Phone(208) 262-8166
Organization SubpartNo
Authorized OfficialJedediah BaddersOwner · (208) 262-8166
Enumeration DateJuly 12, 2016
✔ NPI 1093167280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-1500
Definition
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 column and its interrelationship with other body systems.
640 N THORNTON ST, Post Falls, ID 83854
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Other Identifiers 1

Medicare UPIN20004460ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridgewater Chiropractic And Soft Tissue Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bridgewater Chiropractic And Soft Tissue Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jedediah Badders, D.C.
Chiropractic
NPI 1932474160
900B S WALTON BLVD STE 19
Bentonville, AR 72712
(479) 268-3992
✔ Accepts Medicare1,399 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgewater Chiropractic And Soft Tissue Center PLLC's NPI number?

The NPI number for Bridgewater Chiropractic And Soft Tissue Center PLLC is 1093167280. It was assigned to this organization in the NPPES registry on July 12, 2016.

Where is Bridgewater Chiropractic And Soft Tissue Center PLLC located?

Bridgewater Chiropractic And Soft Tissue Center PLLC is located at 640 N Thornton St, Post Falls, ID 83854. The listed phone number is (208) 262-8166.

What is Bridgewater Chiropractic And Soft Tissue Center PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bridgewater Chiropractic And Soft Tissue Center PLLC enrolled in Medicare?

Yes. Bridgewater Chiropractic And Soft Tissue Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bridgewater Chiropractic And Soft Tissue Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bridgewater Chiropractic And Soft Tissue Center PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bridgewater Chiropractic And Soft Tissue Center PLLC was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.