SELAH MEDICAL CENTER, PA
NPI 1477558328
Family Medicine in Boise, ID

Q: What is Bryan C Pogue MD's NPI number?

The NPI number for Bryan C Pogue MD is 1477558328. It was assigned to this organization in the NPPES registry on June 16, 2005. The provider is doing business as Selah Medical Center, PA.

Q: What is Bryan C Pogue MD's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bryan C Pogue MD was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 16, 2005

6565 W EMERALD ST, BOISE, ID 83704(208) 377-5055(208) 377-5335 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Selah Medical Center, Pa NPPES

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

SELAH MEDICAL CENTER, PA (NPI 1477558328) is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since June 2005. The organization lists Kelli M Sizemore, Administrator, as its authorized official.

NPPES Registry Identity

NPI1477558328

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBRYAN C POGUE MD

Location Address6565 W EMERALD STBoise, ID 83704-8737

Mailing Address6565 W Emerald StBoise, ID 83704-8737 · (208) 377-5055 · Fax (208) 377-5335

Phone(208) 377-5055

Fax(208) 377-5335

Organization SubpartNo

Authorized OfficialKelli M SizemoreAdministrator · (208) 377-5055

Enumeration DateJune 16, 2005

Last NPPES UpdateApril 5, 2016

✔ NPI 1477558328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M5125

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.

6565 W EMERALD ST, Boise, ID 83704

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Other Names 1

Doing Business AsSelah Medical Center, Pa

Other Identifiers 2

Medicare PIN1374672ID

Medicaid002789800ID

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 20

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

VICTORIA L SLICHTER

Social Worker