OrganizationActive
East Idaho Orthopaedics PLLC
NPI 1295189918 · Orthopaedic Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1295189918
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alexis Bergeson, Practice Manager(208) 932-4133
- License
- M-10197 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3405 Merlin Dr
Idaho Falls, ID 83404-7430
Phone: (208) 522-3355
Fax: (208) 522-6019
Approximate (ZIP-level) locationGet directions
Mailing address
3405 Merlin Dr
Idaho Falls, ID 83404-7430
Other names (DBA / former)
- Doing business as
- Liljenquist & Redd Orthopedic Surgery
Registry dates
- Enumerated
- 2016-04-19
- Last updated
- 2016-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.