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MADISON EAR NOSE AND THROAT CLINIC
NPI 1265458400
Otolaryngology in Rexburg, ID

Active since July 14, 2006
30 MADISON PROFESSIONAL PARK, REXBURG, ID 83440(208) 656-9646(208) 656-9645 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madison Ear Nose And Throat Clinic NPPES

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

MADISON EAR NOSE AND THROAT CLINIC (NPI 1265458400) is a healthcare organization registered as an otolaryngology in Rexburg, Idaho and active in the NPI registry since July 2006. The organization lists Debbie Sue Bulstrode, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265458400
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMADISON EAR NOSE AND THROAT CLINIC
Location Address30 MADISON PROFESSIONAL PARKRexburg, ID 83440-2058
Mailing Address30 Madison Professional ParkRexburg, ID 83440-0828 · (208) 656-9646 · Fax (208) 656-9645
Phone(208) 656-9646
Fax(208) 656-9645
Organization SubpartNo
Authorized OfficialDebbie Sue BulstrodeOffice Manager · (208) 656-9646
Enumeration DateJuly 14, 2006
Last NPPES UpdateJanuary 17, 2012
✔ NPI 1265458400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in ID · 40
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
30 MADISON PROFESSIONAL PARK, Rexburg, ID 83440
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Other Identifiers 1

Medicare PIN1369674ID

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

Other Providers at the Same Location NPPES

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

IDAHO UROLOGY 1 PLLC
Urology
30 MADISON PROFESSIONAL PARK
REXBURG, ID 83440
Madison County (208) 351-6363

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 Madison Ear Nose And Throat Clinic's NPI number?

The NPI number for Madison Ear Nose And Throat Clinic is 1265458400. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Madison Ear Nose And Throat Clinic located?

Madison Ear Nose And Throat Clinic is located at 30 Madison Professional Park, Rexburg, ID 83440. The listed phone number is (208) 656-9646.

What is Madison Ear Nose And Throat Clinic's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Madison Ear Nose And Throat Clinic was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.