ROGER S. BRUNT M.D. P.A.
NPI 1922287226
Clinic/Center - Primary Care in Idaho Falls, ID

Active since November 02, 2007
1995 E 17TH ST, IDAHO FALLS, ID 83404(208) 201-3737 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roger S. Brunt M.d. P.a. NPPES

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

ROGER S. BRUNT M.D. P.A. (NPI 1922287226) is a healthcare organization registered as a primary care in Idaho Falls, Idaho and active in the NPI registry since November 2007. The organization lists Roger Stevenson Brunt, President, as its authorized official.

NPPES Registry Identity

NPI1922287226
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameROGER S. BRUNT M.D. P.A.
Location Address1995 E 17TH STIdaho Falls, ID 83404-6493
Mailing Address1995 E 17th StIdaho Falls, ID 83404-6493 · (208) 201-3737
Organization SubpartNo
Authorized OfficialRoger Stevenson BruntPresident · (208) 201-3737
Enumeration DateNovember 2, 2007
NPI 1922287226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in ID · M3281
1995 E 17TH ST, Idaho Falls, ID 83404

Other Identifiers 1

Medicare UPINC36829

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.

Family Medicine
1995 E 17TH ST
IDAHO FALLS, ID 83404
Family Medicine
1995 E 17TH ST
IDAHO FALLS, ID 83404
Family Medicine
1995 E 17TH ST
IDAHO FALLS, ID 83404
Internal Medicine (Gastroenterology)
1995 E 17TH ST, ST. #4
IDAHO FALLS, ID 83404
Massage Therapist
1995 E 17TH ST, SUITE 2
IDAHO FALLS, ID 83404
Nurse Practitioner
1995 E 17TH ST, STE 2
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
1995 E 17TH ST
IDAHO FALLS, ID 83404
Psychiatry & Neurology (Neurology)
1995 E 17TH ST, STE 5
IDAHO FALLS, ID 83404

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 Roger S. Brunt M.D. P.A.'s NPI number?

The NPI number for Roger S. Brunt M.D. P.A. is 1922287226. It was assigned to this organization in the NPPES registry on November 2, 2007.

Where is Roger S. Brunt M.D. P.A. located?

Roger S. Brunt M.D. P.A. is located at 1995 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 201-3737.

What is Roger S. Brunt M.D. P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Roger S. Brunt M.D. P.A. was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.