Redd, Brigham B

Redd, Brigham B is an individual health care provider with primary practice located at 2210 Coronado St , Idaho Falls ID 83404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Redd, Brigham B can be contacted via phone (208) 522-3355.

Contact Information

Primary practice address
2210 Coronado St Idaho Falls ID 83404
Phone: (208) 522-3355
Fax: (208) 522-6019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01054412A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M-10197 Idaho

Profile Details

NPI number 1144208059
LBN Legal business name Redd, Brigham B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Sep 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144208059 NPPES
Wyoming MEDICAID 1902841893
Wyoming MEDICAID 808106500
Wyoming MEDICAID 1144208059

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