GEORGE HOLBROOK GROBERG MD NPI 1306950969

NPI Information

  • NPI: 1306950969
  • Provider Name: GEORGE HOLBROOK GROBERG, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 3430 WASHINGTON PARKWAY
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 523-3060

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NPI Details

George Holbrook Groberg, MD is a pediatrics in Idaho Falls, ID. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. George Holbrook Groberg, MD NPI is 1306950969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3430 WASHINGTON PARKWAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 523-3060
Fax: (208) 523-0028

The enumeration date for this NPI number is 8/19/2006 and was last updated on 9/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsM4910IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000010002848OTHERIDAHOBLUE SHIELD
249106OTHERIDAHOBLUE CROSS
3B63840MEDICARE UPIN
4002297900MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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