NEVILLE SPINAL BALANCE PLLC
NPI 1104065093
Clinic/Center in Idaho Falls, ID

Active since February 17, 2009
2145 WEST BROADWAY STREET, IDAHO FALLS, ID 83402(208) 522-3130 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Neville Spinal Balance Pllc NPPES

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

NEVILLE SPINAL BALANCE PLLC (NPI 1104065093) is a healthcare organization registered as a clinic/center in Idaho Falls, Idaho and active in the NPI registry since February 2009. The organization lists Trever Neville, Owner, as its authorized official.

NPPES Registry Identity

NPI1104065093
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNEVILLE SPINAL BALANCE PLLC
Location Address2145 WEST BROADWAY STREETIdaho Falls, ID 83402-2904
Mailing Address2145 West Broadway StreetIdaho Falls, ID 83402-2904 · (208) 522-3130
Organization SubpartNo
Authorized OfficialTrever NevilleOwner · (208) 522-3130
Enumeration DateFebruary 17, 2009
Last NPPES UpdateJune 5, 2020
NPPES CertifiedJune 5, 2020
✔ NPI 1104065093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in ID · CHIA-1331
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2145 WEST BROADWAY STREET, Idaho Falls, ID 83402

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neville Spinal Balance 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 Neville Spinal Balance PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1700031515
2143 WEST BROADWAY ST.
Idaho Falss, ID 83402
(208) 522-3130
Same address

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 Neville Spinal Balance PLLC's NPI number?

The NPI number for Neville Spinal Balance PLLC is 1104065093. It was assigned to this organization in the NPPES registry on February 17, 2009.

Where is Neville Spinal Balance PLLC located?

Neville Spinal Balance PLLC is located at 2145 West Broadway Street, Idaho Falls, ID 83402. The listed phone number is (208) 522-3130.

What is Neville Spinal Balance PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Neville Spinal Balance PLLC enrolled in Medicare?

Yes. Neville Spinal Balance PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neville Spinal Balance PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Neville Spinal Balance 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 Neville Spinal Balance PLLC was last updated on June 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.