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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IDAHO UROLOGY 1 PLLC
NPI 1316890270
Urology in Rexburg, ID

Active since February 19, 2026
30 MADISON PROFESSIONAL PARK, REXBURG, ID 83440(208) 351-6363 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 3, 2026, Aug 5, 2026, May 12, 2026 (3 updates tracked since 2026).

About Idaho Urology 1 Pllc NPPES

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

IDAHO UROLOGY 1 PLLC (NPI 1316890270), doing business as Mountain West Urology, is a healthcare organization registered as an urology in Rexburg, Idaho and active in the NPI registry since February 2026. The organization maintains a secondary practice location in Idaho Falls and lists Jacob Bryce Thatcher, Do, as its authorized official.

NPPES Registry Identity

NPI1316890270
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameIDAHO UROLOGY 1 PLLC
Location Address30 MADISON PROFESSIONAL PARKRexburg, ID 83440-2058
Mailing Address30 Madison Professional ParkRexburg, ID 83440-2058 · (208) 356-0004 · Fax (208) 356-0006
Phone(208) 351-6363
Organization SubpartNo
Authorized OfficialJacob Bryce ThatcherDo · (208) 356-0004
Enumeration DateFebruary 19, 2026
Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1316890270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSurgeryTaxonomy 208600000X
30 MADISON PROFESSIONAL PARK, Rexburg, ID 83440
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Other Names 1

Doing Business AsMountain West Urology

Secondary Practice Location 1

Location 13155 Channing Way Ste AIdaho Falls, ID 83404-7875 · Phone (208) 356-0004

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

MADISON EAR NOSE AND THROAT CLINIC
Otolaryngology
30 MADISON PROFESSIONAL PARK
REXBURG, ID 83440
Madison County (208) 656-9646

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 Idaho Urology 1 PLLC's NPI number?

The NPI number for Idaho Urology 1 PLLC is 1316890270. It was assigned to this organization in the NPPES registry on February 19, 2026. The provider is doing business as Mountain West Urology.

Where is Idaho Urology 1 PLLC located?

Idaho Urology 1 PLLC is located at 30 Madison Professional Park, Rexburg, ID 83440. The listed phone number is (208) 351-6363.

What is Idaho Urology 1 PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Idaho Urology 1 PLLC was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.