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DESTIN THAYNE BEP INC
NPI 1790244424
Family Medicine in Rexburg, ID

Active since March 12, 2019
859 S YELLOWSTONE HWY STE 3201, REXBURG, ID 83440(208) 359-2101(208) 356-8860 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2021, Jun 12, 2019, Mar 12, 2019 (3 updates tracked since 2019).

About Destin Thayne Bep Inc NPPES

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

DESTIN THAYNE BEP INC (NPI 1790244424) is a healthcare organization registered as a family medicine in Rexburg, Idaho and active in the NPI registry since March 2019. The organization lists Destin L Thayne, Owner, as its authorized official.

NPPES Registry Identity

NPI1790244424
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDESTIN THAYNE BEP INC
Location Address859 S YELLOWSTONE HWY STE 3201Rexburg, ID 83440-6200
Mailing Address859 S Yellowstone Hwy Ste 3201Rexburg, ID 83440-6200 · (208) 359-2101 · Fax (208) 356-8860
Phone(208) 359-2101
Fax(208) 356-8860
Organization SubpartNo
Authorized OfficialDestin L ThayneOwner · (208) 359-2101
Enumeration DateMarch 12, 2019
Last NPPES UpdateAugust 12, 20213 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1790244424 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.
859 S YELLOWSTONE HWY STE 3201, Rexburg, ID 83440
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

VON POLL
Marriage & Family Therapist
859 S YELLOWSTONE HWY STE 3201
REXBURG, ID 83440
Madison County (208) 359-2101
RANDON TAYLOR NMD
Naturopath
859 S YELLOWSTONE HWY STE 3201
REXBURG, ID 83440
Madison County (208) 359-2101
DR. BRETT APPLEBY NMD
Naturopath
859 S YELLOWSTONE HWY STE 3201
REXBURG, ID 83440
Madison County (208) 359-2101
EAST IDAHO MENTAL HEALTH LLC
Counselor
859 S YELLOWSTONE HWY STE 3201
REXBURG, ID 83440
Madison County (208) 359-2101

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 Destin Thayne Bep Inc's NPI number?

The NPI number for Destin Thayne Bep Inc is 1790244424. It was assigned to this organization in the NPPES registry on March 12, 2019.

Where is Destin Thayne Bep Inc located?

Destin Thayne Bep Inc is located at 859 S Yellowstone Hwy Ste 3201, Rexburg, ID 83440. The listed phone number is (208) 359-2101.

What is Destin Thayne Bep Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Destin Thayne Bep Inc was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.