DR. BRYAN DAVID LITTLE MD
NPI 1003662123
Student in an Organized Health Care Education/Training Program in Boise, ID

Active since April 29, 2024PECOS Enrolled
500 W FORT ST BLDG 116, BOISE, ID 83702(208) 422-1165 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bryan David Little Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYAN DAVID LITTLE MD (NPI 1003662123) is an individual student in an organized health care education/training program in Boise, Idaho and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003662123
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRYAN DAVID LITTLECredential: MD
Location Address500 W FORT ST BLDG 116Boise, ID 83702-4501
Mailing Address500 W Fort St Bldg 116Boise, ID 83702-4501 · (208) 422-1165
Sole ProprietorNo
Enumeration DateApril 29, 2024
NPPES CertifiedApril 29, 2024
NPI 1003662123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
500 W FORT ST BLDG 116, Boise, ID 83702

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bryan David Little Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
500 W FORT ST BLDG 116
BOISE, ID 83702
Student in an Organized Health Care Education/Training Program
500 W FORT ST BLDG 116
BOISE, ID 83702
Respiratory Therapist, Registered
500 W FORT ST BLDG 116
BOISE, ID 83702
Psychiatry & Neurology (Psychiatry)
500 W FORT ST BLDG 116
BOISE, ID 83702
Respiratory Therapist, Certified
500 W FORT ST BLDG 116
BOISE, ID 83702
Psychiatry & Neurology (Psychiatry)
500 W FORT ST BLDG 116
BOISE, ID 83702
Student in an Organized Health Care Education/Training Program
500 W FORT ST BLDG 116
BOISE, ID 83702
Psychiatry & Neurology (Psychiatry)
500 W FORT ST BLDG 116
BOISE, ID 83702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Little's NPI number?

The NPI number for Bryan Little is 1003662123. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Bryan Little located?

Bryan Little practices at 500 W Fort St Bldg 116, Boise, ID 83702. The listed phone number is (208) 422-1165.

What is Bryan Little's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bryan Little enrolled in Medicare?

Yes. Bryan Little is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Little was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.