OrganizationActive
Destin Thayne Bep Inc
NPI 1790244424 · Family Medicine Physician · Rexburg, ID
Destin Thayne Bep Inc is a Family Medicine Physician organization in Rexburg, ID (NPI 1790244424).
Provider details
- NPI number
- 1790244424
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Destin Thayne, Owner(208) 359-2101
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
859 S Yellowstone Hwy Ste 3201
Rexburg, ID 83440-6200
Phone: (208) 359-2101
Fax: (208) 356-8860
Street-level locationGet directions
Mailing address
859 S Yellowstone Hwy Ste 3201
Rexburg, ID 83440-6200
Registry dates
- Enumerated
- 2019-03-12
- Last updated
- 2021-08-12
- Certified
- 2021-08-12
Frequently asked questions
- What is Destin Thayne Bep Inc's NPI number?
- Destin Thayne Bep Inc's National Provider Identifier (NPI) is 1790244424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Destin Thayne Bep Inc?
- Destin Thayne Bep Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Destin Thayne Bep Inc located?
- Destin Thayne Bep Inc's practice location on file with NPPES is 859 S Yellowstone Hwy Ste 3201, Rexburg, ID 83440-6200.
- What is Destin Thayne Bep Inc's phone number?
- The practice phone number listed in the NPPES registry for Destin Thayne Bep Inc is (208) 359-2101.
- Who is the authorized official for Destin Thayne Bep Inc?
- The authorized official listed on Destin Thayne Bep Inc's NPPES record is Destin Thayne, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Destin Thayne Bep Inc's NPI active?
- Yes — Destin Thayne Bep Inc's NPI (1790244424) is active in the NPPES registry as of the last update on 2021-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.