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SOUTHEASTERN IDAHO SURGICAL ASSOCIATES, PLLC
NPI 1164372777
Surgery in Idaho Falls, ID

Active since February 02, 2026
2805 VALENCIA DR, IDAHO FALLS, ID 83404(208) 525-9400(208) 525-6151 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2026, Feb 2, 2026 (2 updates tracked since 2026).

About Southeastern Idaho Surgical Associates, Pllc NPPES

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

SOUTHEASTERN IDAHO SURGICAL ASSOCIATES, PLLC (NPI 1164372777) is a healthcare organization registered as a surgery in Idaho Falls, Idaho and active in the NPI registry since February 2026. The organization lists Brett Mcbride, Owner, as its authorized official.

NPPES Registry Identity

NPI1164372777
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTHEASTERN IDAHO SURGICAL ASSOCIATES, PLLC
Location Address2805 VALENCIA DRIdaho Falls, ID 83404-7597
Mailing Address2805 Valencia DrIdaho Falls, ID 83404-7597 · (208) 525-9400 · Fax (208) 525-6151
Phone(208) 525-9400
Fax(208) 525-6151
Organization SubpartNo
Authorized OfficialBrett McbrideOwner · (208) 525-9400
Enumeration DateFebruary 2, 2026
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1164372777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2805 VALENCIA DR, Idaho Falls, ID 83404
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeastern Idaho Surgical Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeastern Idaho Surgical Associates, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brett Mcbride, DO
General Surgery
NPI 1770017568
2805 VALENCIA DR
Idaho Falls, ID 83404
(208) 525-9400
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southeastern Idaho Surgical Associates, PLLC's NPI number?

The NPI number for Southeastern Idaho Surgical Associates, PLLC is 1164372777. It was assigned to this organization in the NPPES registry on February 2, 2026.

Where is Southeastern Idaho Surgical Associates, PLLC located?

Southeastern Idaho Surgical Associates, PLLC is located at 2805 Valencia Dr, Idaho Falls, ID 83404. The listed phone number is (208) 525-9400.

What is Southeastern Idaho Surgical Associates, PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Southeastern Idaho Surgical Associates, PLLC enrolled in Medicare?

Yes. Southeastern Idaho Surgical Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Idaho Surgical Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Southeastern Idaho Surgical Associates, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeastern Idaho Surgical Associates, PLLC accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare and University of Utah Health Plans list Southeastern Idaho Surgical Associates, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeastern Idaho Surgical Associates, PLLC was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.