IndividualActive
Brodi Smith, DO
NPI 1447690904 · Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1447690904
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- O-1114 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2805 Valencia Dr
Idaho Falls, ID 83404
Phone: (208) 535-8422
Fax: (208) 525-6151
Approximate (ZIP-level) locationGet directions
Mailing address
2805 Valencia Dr
Idaho Falls, ID 83404-7597
Registry dates
- Enumerated
- 2013-06-28
- Last updated
- 2018-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.