BLUEBIRD SUPPORT SERVICES LLC NPI 1538036538

NPI Information

  • NPI: 1538036538
  • Provider Name: BLUEBIRD SUPPORT SERVICES LLC
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • Address: 1322 N WHITLEY DR
    FRUITLAND, ID
    ZIP 83619
  • Phone: (208) 691-5925

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NPI Details

BLUEBIRD SUPPORT SERVICES LLC is a developmental - behavioral pediatrics pediatrics in Fruitland, ID. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. BLUEBIRD SUPPORT SERVICES LLC NPI is 1538036538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1322 N WHITLEY DR
FRUITLAND, ID
ZIP 83619-234
Phone: (208) 691-5925

The provider's authorized official is Cody Grey .
The authorized official title is Owner and has the following contact phone number (208) 691-5925.

The enumeration date for this NPI number is 10/22/2025 and was last updated on 10/22/2025.

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
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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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