IndividualActive
Carl Humphrey, MD
NPI 1811978778 · Orthopaedic Surgery Physician · Eagle, ID
Provider details
- NPI number
- 1811978778
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M9563 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3381 W Bavaria Street
Eagle, ID 83616-5341
Phone: (208) 639-4800
Fax: (208) 639-4801
Approximate (ZIP-level) locationGet directions
Mailing address
3381 W Bavaria Street
Eagle, ID 83616-5341
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2012-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.