IndividualActive
Brent Christensen, DPM
NPI 1487688990 · Podiatrist · Pocatello, ID
Provider details
- NPI number
- 1487688990
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- P-166 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
1777 E Clark St
Suite 220
Pocatello, ID 83201-3357
Phone: (208) 235-1777
Fax: (208) 232-7518
Approximate (ZIP-level) locationGet directions
Mailing address
1777 E Clark St
Pocatello, ID 83201-3357
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2013-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.