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GRAYSON BLOM D.C.
NPI 1316112428
Chiropractor in Boise, ID

Active since April 29, 2008
5975 W. OVERLAND RD., BOISE, ID 83709(208) 559-0541 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grayson Blom D.c. NPPES

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

GRAYSON BLOM D.C. (NPI 1316112428) is an individual chiropractor in Boise, Idaho, licensed in Idaho (CHIA-1297) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1316112428
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameGRAYSON BLOMCredential: D.C.
Location Address5975 W. OVERLAND RD.Boise, ID 83709
Mailing Address4869 W Malad St, Ste DBoise, ID 83705-8844 · (208) 559-0541
Phone(208) 559-0541
Sole ProprietorNo
Enumeration DateApril 29, 2008
Last NPPES UpdateNovember 9, 2016
✔ NPI 1316112428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-1297
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.
5975 W. OVERLAND RD., Boise, ID 83709
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grayson Blom D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Grayson Blom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upper Cervical Clinics Of Idaho
5.1 mi
Clinic/Center
3023 E COPPER POINT DR STE 104
Meridian, ID 83642
  • Reassigned Medicare billing, Idaho enrollment
NPI 1316113368 (208) 559-0541

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 Grayson Blom's NPI number?

The NPI number for Grayson Blom is 1316112428. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Grayson Blom located?

Grayson Blom practices at 5975 W. Overland Rd., Boise, ID 83709. The listed phone number is (208) 559-0541.

What is Grayson Blom's specialty?

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

Is Grayson Blom enrolled in Medicare?

Yes. Grayson Blom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grayson Blom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grayson Blom reassigns Medicare benefits to Upper Cervical Clinics Of Idaho (Meridian, ID). The 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 Grayson Blom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grayson Blom was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.