OrganizationActive
Brodi Smith DO PLLC
NPI 1659863207 · Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1659863207
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brodi Smith, DO(515) 423-6125
- License
- O1114 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2805 Valencia Dr
Idaho Falls, ID 83404-7597
Phone: (208) 525-9400
Fax: (208) 525-6151
Approximate (ZIP-level) locationGet directions
Mailing address
2805 Valencia Dr
Idaho Falls, ID 83404-7597
Other names (DBA / former)
- Doing business as
- Idaho Falls Surgical Specialists
Registry dates
- Enumerated
- 2018-05-30
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.