LEGACY CHIROPRACTIC PLLC
NPI 1336713858
Chiropractor in Eagle, ID
About Legacy Chiropractic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY CHIROPRACTIC PLLC (NPI 1336713858) is a healthcare organization registered as a chiropractor in Eagle, Idaho and active in the NPI registry since May 2021. The organization lists Brent Symes, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Legacy Chiropractic 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 Legacy Chiropractic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Legacy Chiropractic PLLC's NPI number?
The NPI number for Legacy Chiropractic PLLC is 1336713858. It was assigned to this organization in the NPPES registry on May 19, 2021.
Where is Legacy Chiropractic PLLC located?
Legacy Chiropractic PLLC is located at 20 N Fisher Park Way Ste 100, Eagle, ID 83616. The listed phone number is (206) 313-3733.
What is Legacy Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Legacy Chiropractic PLLC enrolled in Medicare?
Yes. Legacy Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Legacy Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Legacy Chiropractic 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 Legacy Chiropractic PLLC was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Legacy Chiropractic Pllc · NPI 1336713858
Chiropractor organization in Eagle, Idaho. Organization record, active in the CMS NPPES registry since May 19, 2021.
## Identity
- **NPI:** 1336713858 (Entity type: Organization)
- **Enumerated:** May 19, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Brent Symes, OWNER
## Practice location
- **Address:** 20 N FISHER PARK WAY STE 100, Eagle, ID 83616-4709
- **Phone:** (206) 313-3733
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336713858) · Data from the CMS NPPES public registry.