OrganizationActive
Idaho Surgical, LLC
NPI 1790340834 · Surgery Physician · Nampa, ID
Idaho Surgical, LLC is a Surgery Physician organization in Nampa, ID (NPI 1790340834).
Provider details
- NPI number
- 1790340834
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bren Heaton, Surgeon/Owner(208) 854-9828
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 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
2 documented practice locations
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
6195 E Hunt Ave
Nampa, ID 83687-8317
Phone: (208) 639-4900
Street-level locationGet directions
Mailing address
1662 S Lake Crest Way
Eagle, ID 83616-7142
Additional practice locations (1)
- 222 N 2nd St Ste 115Boise, ID 83702-6129Phone: (208) 639-4900
Registry dates
- Enumerated
- 2019-05-03
- Last updated
- 2019-06-14
Frequently asked questions
- What is Idaho Surgical, LLC's NPI number?
- Idaho Surgical, LLC's National Provider Identifier (NPI) is 1790340834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Surgical, LLC?
- Idaho Surgical, LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho Surgical, LLC located?
- Idaho Surgical, LLC's practice location on file with NPPES is 6195 E Hunt Ave, Nampa, ID 83687-8317.
- What is Idaho Surgical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Surgical, LLC is (208) 639-4900.
- Who is the authorized official for Idaho Surgical, LLC?
- The authorized official listed on Idaho Surgical, LLC's NPPES record is Bren Heaton, Surgeon/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Surgical, LLC's NPI active?
- Yes — Idaho Surgical, LLC's NPI (1790340834) is active in the NPPES registry as of the last update on 2019-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.