Southeastern Idaho Surgical Associates, PLLC
NPI 1164372777ActiveOrganization· Surgery· Idaho Falls, ID
Surgery in Idaho Falls, Idaho, registered in NPPES in February 2026. The authorized official on file is Brett McBride, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164372777 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2026 |
| Last updated in NPPES | Apr 3, 2026 |
| Certified by provider | Apr 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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