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EAGLE ROCK REGIONAL NEUROLOGY, P.C.
NPI 1710053756
Psychiatry & Neurology - Neurology in Idaho Falls, ID

Active since November 28, 2006
1995 E 17TH ST, STE 5, IDAHO FALLS, ID 83404(208) 552-5700(208) 552-5703 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eagle Rock Regional Neurology, P.c. NPPES

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

EAGLE ROCK REGIONAL NEUROLOGY, P.C. (NPI 1710053756) is a healthcare organization registered as a neurology in Idaho Falls, Idaho and active in the NPI registry since November 2006. The organization lists William Karl Domarad, Physician, as its authorized official.

NPPES Registry Identity

NPI1710053756
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameEAGLE ROCK REGIONAL NEUROLOGY, P.C.
Location Address1995 E 17TH ST, STE 5Idaho Falls, ID 83404-6493
Mailing Address1995 E 17th St, Ste 5Idaho Falls, ID 83404-6493 · (208) 552-5700 · Fax (208) 552-5703
Phone(208) 552-5700
Fax(208) 552-5703
Organization SubpartNo
Authorized OfficialWilliam Karl DomaradPhysician · (208) 552-5700
Enumeration DateNovember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710053756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in ID · O343
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1995 E 17TH ST, Idaho Falls, ID 83404
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Other Identifiers 1

OtherS5247ID · Blue Cross

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 13

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

DR. PETER JEFFREY THOMPSON M.D.
Family Medicine
1995 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5252
DR. ROCCO P CIFRESE MD
Family Medicine
1995 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 522-7666
COMMUNITY CARE PLLC
Family Medicine
1995 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5252
ERIC A WINGERSON D.O.
Internal Medicine (Gastroenterology)
1995 E 17TH ST, ST. #4
IDAHO FALLS, ID 83404
Bonneville County (208) 524-3939
KIRSTEN A DAVIS LMP
Massage Therapist
1995 E 17TH ST, SUITE 2
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2352
NORTHSTAR HEALTHCARE LLC
Nurse Practitioner
1995 E 17TH ST, STE 2
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2352
JASON T RINKER
Physician Assistant (Medical)
1995 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 538-1999
ERIC A. WINGERSON, D.O. & DIGESTIVE HEALTH CENTER, PC
Internal Medicine (Gastroenterology)
1995 E 17TH ST, SUITE #4
IDAHO FALLS, ID 83404
Bonneville County (208) 524-3939

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 Eagle Rock Regional Neurology, P.C.'s NPI number?

The NPI number for Eagle Rock Regional Neurology, P.C. is 1710053756. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Eagle Rock Regional Neurology, P.C. located?

Eagle Rock Regional Neurology, P.C. is located at 1995 E 17th St Ste 5, Idaho Falls, ID 83404. The listed phone number is (208) 552-5700.

What is Eagle Rock Regional Neurology, P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Eagle Rock Regional Neurology, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.