ROGER S. BRUNT M.D. P.A. – NPI #1922287226
Clinic/Center

ROGER S. BRUNT M.D. P.A. is an AHC clinic located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1922287226 to ROGER S. BRUNT M.D. P.A. on November 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

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 ROGER S. BRUNT M.D. P.A. below.

NPI Profile for
ROGER S. BRUNT M.D. P.A.

NPI Number
1922287226
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
ROGER S. BRUNT M.D. P.A.
Primary location
1995 E 17TH ST
IDAHO FALLS, ID 83404-6493
Phone: (208) 201-3737 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROGER BRUNT
PRESIDENT
Phone: (208) 201-3737
Updated
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
261QP2300X
- Clinic/Center / Primary Care (Primary)		 ID M3281

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.