MOUNTAIN WEST SPINE LLC – NPI #1982462008
Orthopaedic Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

MOUNTAIN WEST SPINE LLC is an orthopaedic surgeon located in MERIDIAN, ID. NPPES has assigned the NPI number 1982462008 to MOUNTAIN WEST SPINE LLC on March 12, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XS0117X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine

The NPI profile was last updated on Dec 04, 2025. 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 MOUNTAIN WEST SPINE LLC below.

NPI Profile for
MOUNTAIN WEST SPINE LLC

NPI Number
1982462008
Enumeration Date

(more than 2 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
MOUNTAIN WEST SPINE LLC
Primary location
2960 E ST LUKES ST
SUITE 200
MERIDIAN, ID 83642-3506
Phone: (208) 992-5212 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM BRADLEY
OWNER
Phone: (208) 992-5212
Updated
Certification Date
Dec 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207XS0117X
- Orthopaedic Surgery / Orthopaedic Surgery of the Spine (Primary)
261Q00000X
- Clinic/Center
207X00000X
- Orthopaedic Surgery

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.