OrganizationActive
Roger S. Brunt M.D. P.A.
NPI 1922287226 · Primary Care Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1922287226
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roger Brunt, President(208) 201-3737
- License
- M3281 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1995 E 17th St
Idaho Falls, ID 83404-6493
Phone: (208) 201-3737
Approximate (ZIP-level) locationGet directions
Mailing address
1995 E 17th St
Idaho Falls, ID 83404-6493
Registry dates
- Enumerated
- 2007-11-02
- Last updated
- 2007-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.