OrganizationActive
Idaho Sports Bracing Inc
NPI 1801023643 · Durable Medical Equipment & Medical Supplies · Meridian, ID
Provider details
- NPI number
- 1801023643
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Dannette Peterson, Secretary Treasurer(208) 887-9071
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(85/100 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
711 N Ralstin St
Meridian, ID 83642-4079
Phone: (208) 887-9071
Fax: (208) 887-9235
Street-level locationGet directions
Mailing address
Po Box 625
Meridian, ID 83680-0625
Registry dates
- Enumerated
- 2009-06-19
- Last updated
- 2009-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.