Madison Ear Nose and Throat Clinic
NPI 1265458400 · Otolaryngology Physician · Rexburg, ID
Madison Ear Nose and Throat Clinic is a Otolaryngology Physician organization in Rexburg, ID (NPI 1265458400).
Provider details
- NPI number
- 1265458400
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Debbie Bulstrode, Office Manager(208) 656-9646
- License
- 40 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2012-01-17
Frequently asked questions
- What is Madison Ear Nose and Throat Clinic's NPI number?
- Madison Ear Nose and Throat Clinic's National Provider Identifier (NPI) is 1265458400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Madison Ear Nose and Throat Clinic?
- Madison Ear Nose and Throat Clinic is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Madison Ear Nose and Throat Clinic located?
- Madison Ear Nose and Throat Clinic's practice location on file with NPPES is 30 Madison Professional Park, Rexburg, ID 83440-2058.
- What is Madison Ear Nose and Throat Clinic's phone number?
- The practice phone number listed in the NPPES registry for Madison Ear Nose and Throat Clinic is (208) 656-9646.
- Who is the authorized official for Madison Ear Nose and Throat Clinic?
- The authorized official listed on Madison Ear Nose and Throat Clinic's NPPES record is Debbie Bulstrode, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Madison Ear Nose and Throat Clinic's NPI active?
- Yes — Madison Ear Nose and Throat Clinic's NPI (1265458400) is active in the NPPES registry as of the last update on 2012-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.