JULIAN DEBRUYNKOPS MD PA
NPI 1932417607
Family Medicine in Idaho Falls, ID
About Julian Debruynkops Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIAN DEBRUYNKOPS MD PA (NPI 1932417607) is a healthcare organization registered as a family medicine in Idaho Falls, Idaho and active in the NPI registry since September 2010. The organization lists Julian De Bruyn Kops, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Julian Debruynkops Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Julian Debruynkops MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Julian Debruynkops MD PA's NPI number?
The NPI number for Julian Debruynkops MD PA is 1932417607. It was assigned to this organization in the NPPES registry on September 16, 2010.
Where is Julian Debruynkops MD PA located?
Julian Debruynkops MD PA is located at 2065 E 17th St Suite C, Idaho Falls, ID 83404. The listed phone number is (208) 522-6106.
What is Julian Debruynkops MD PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Julian Debruynkops MD PA enrolled in Medicare?
Yes. Julian Debruynkops MD PA is registered in the Medicare PECOS enrollment system.
When is Julian Debruynkops MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Julian Debruynkops MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Julian Debruynkops MD PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Julian Debruynkops MD PA accept?
Health plans from Molina Healthcare list Julian Debruynkops MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Julian Debruynkops MD PA was last updated on November 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Julian Debruynkops Md Pa · NPI 1932417607
Family Medicine organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since September 16, 2010.
## Identity
- **NPI:** 1932417607 (Entity type: Organization)
- **Enumerated:** September 16, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Julian De Bruyn Kops, DIRECTOR
## Practice location
- **Address:** 2065 E 17TH ST, SUITE C, Idaho Falls, ID 83404-8042
- **Phone:** (208) 522-6106
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2010
- **Other identifiers:** Medicare OSCAR/certification 1109531 (ID); Medicare UPIN C36818 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1932417607) · Data from the CMS NPPES public registry.