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BRIZZEE FAMILY MEDICINE INC NPI 1629392626


NPI Information

NPI: 1629392626
Provider Name: BRIZZEE FAMILY MEDICINE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 13D2011099

Address:
2010 FLANDRO DR
POCATELLO, ID
ZIP 83202
Phone: (208) 238-0600
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BRIZZEE FAMILY MEDICINE INC is a family medicine in Pocatello, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRIZZEE FAMILY MEDICINE INC NPI is 1629392626. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2010 FLANDRO DR
POCATELLO, ID
ZIP 83202-947
Phone: (208) 238-0600
Fax: (208) 238-0603

The provider's authorized official is David Paul Brizzee .
The authorized official title is President and has the following contact phone number (208) 757-1577.

The CLIA number assigned to this NPI record is 13D2011099 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/18/2010 and was last updated on 3/18/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineO-0516IDAHOYes

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: 11/14/2023

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