OrganizationActive
Brian E O'Byrne, M.D. P.A.
NPI 1790012383 · Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1790012383
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Brian E O'Byrne, M.D. P.A.
- Organization subpart
- Yes
- Authorized official
- Brian O'Byrne, Owner(208) 535-4470
- License
- M6123 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2860 Channing Way Ste 117
Idaho Falls, ID 83404-7532
Phone: (208) 535-4470
Fax: (208) 535-4476
Street-level locationGet directions
Mailing address
2860 Channing Way Ste 117
Idaho Falls, ID 83404-7532
Registry dates
- Enumerated
- 2009-11-03
- Last updated
- 2014-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.