Katelyn Brigham

Pediatrics Physician · Eagle, ID

Individual Active NPI

NPI number 1932788189

Practice location

450 W State St
Eagle, ID 83616-7057
Phone
(208) 939-1035
Fax
(208) 939-8970

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NPI record

NPI
1932788189
Entity type
Individual (Type 1)
Enumeration date
April 5, 2021
Last updated
September 5, 2024
Certified
September 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X M-17891 ID

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations (1)

  • 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202-5109 · (317) 944-4034

About Katelyn Brigham

Katelyn Brigham is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 450 W State St, Eagle, ID 83616-7057. The NPI number 1932788189 was assigned on April 5, 2021 and the record was last updated on September 5, 2024.

Katelyn Brigham lists a license in the registry: #M-17891 (ID) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Katelyn Brigham?

The NPI number is 1932788189.

What is the phone number of Katelyn Brigham?

The phone number listed for the practice location is (208) 939-1035.

Where is Katelyn Brigham located?

450 W State St, Eagle, ID 83616-7057.

What is the taxonomy code for Katelyn Brigham?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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