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WALTER M. GRAHAM, M.D.
NPI 1255296109
Family Medicine in Burley, ID

Active since December 22, 2025CLIA 13D2299912 · Waiver
32 S 150 E, BURLEY, ID 83318(208) 677-3034(208) 677-2483 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walter M. Graham, M.d. NPPES

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

WALTER M. GRAHAM, M.D. (NPI 1255296109) is a healthcare organization registered as a family medicine in Burley, Idaho and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Walter Maitland Graham, Physician, as its authorized official.

NPPES Registry Identity

NPI1255296109
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWALTER M. GRAHAM, M.D.
Location Address32 S 150 EBurley, ID 83318-5450
Mailing Address32 S 150 EBurley, ID 83318-5450 · (208) 677-3034 · Fax (208) 677-2483
Phone(208) 677-3034
Fax(208) 677-2483
Organization SubpartNo
Authorized OfficialWalter Maitland GrahamPhysician · (208) 677-3034
Enumeration DateDecember 22, 2025
NPPES CertifiedDecember 22, 2025
✔ NPI 1255296109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
32 S 150 E, Burley, ID 83318
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2299912

Walter M Graham MD · Burley, ID
Active · expires Feb 28, 2028
CLIA Number13D2299912
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorWalter M. Graham
Laboratory Phone(208) 677-3034
Laboratory LocationWalter M Graham MD32 S 150 E, Burley, ID 83318
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

LB MEDICAL CONSULTANTS
Nurse Practitioner (Psychiatric/Mental Health)
32 S 150 E
BURLEY, ID 83318
Cassia County (208) 207-9422
DR. WALTER MAITLAND GRAHAM M.D.
Family Medicine
32 S 150 E
BURLEY, ID 83318
Cassia County (208) 677-3034

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 Walter M. Graham, M.D.'s NPI number?

The NPI number for Walter M. Graham, M.D. is 1255296109. It was assigned to this organization in the NPPES registry on December 22, 2025.

Where is Walter M. Graham, M.D. located?

Walter M. Graham, M.D. is located at 32 S 150 E, Burley, ID 83318. The listed phone number is (208) 677-3034.

What is Walter M. Graham, M.D.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Walter M. Graham, M.D. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2299912) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walter M. Graham, M.D. was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.