SOUTHEASTERN IDAHO SURGICAL ASSOCIATES, PLLC – NPI #1164372777
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

SOUTHEASTERN IDAHO SURGICAL ASSOCIATES, PLLC is a surgeon located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1164372777 to SOUTHEASTERN IDAHO SURGICAL ASSOCIATES, PLLC on February 02, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Apr 03, 2026. 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 SOUTHEASTERN IDAHO SURGICAL ASSOCIATES, PLLC below.

NPI Profile for
SOUTHEASTERN IDAHO SURGICAL ASSOCIATES, PLLC

NPI Number
1164372777
Enumeration Date

(about 4 months 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
SOUTHEASTERN IDAHO SURGICAL ASSOCIATES, PLLC
Primary location
2805 VALENCIA DR
IDAHO FALLS, ID 83404-7597
Phone: (208) 525-9400 Fax: (208) 525-6151
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRETT MCBRIDE
OWNER
Phone: (208) 525-9400
Updated
Certification Date
Apr 03, 2026

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
208600000X
- Surgery (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.