COMPETITIVE EDGE SPORTS MEDICINE – NPI #1104000561
Family Medicine

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

COMPETITIVE EDGE SPORTS MEDICINE is a provider located in BREESE, IL. NPPES has assigned the NPI number 1104000561 to COMPETITIVE EDGE SPORTS MEDICINE on December 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMPETITIVE EDGE SPORTS MEDICINE below.

NPI Profile for
COMPETITIVE EDGE SPORTS MEDICINE

NPI Number
1104000561
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMPETITIVE EDGE SPORTS MEDICINE
Primary location
14160 JAMESTOWN RD
BREESE, IL 62230
Phone: (618) 526-2603 Fax: (618) 526-1435
Mailing address
9431 HOLY CROSS LN
BREESE, IL 62230-3510
Phone: (618) 526-2603 Fax: (618) 526-1435
Organization Subpart
No
Authorized Official
DAVID NEIGHBORS
PRESIDENT
Phone: (618) 526-2603
Updated
Identifiers

Identifiers for COMPETITIVE EDGE SPORTS MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSIL0001400053
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QS0010X
- Family Medicine / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.