Madison Ear Nose and Throat Clinic
NPI 1265458400ActiveOrganization· Otolaryngology· Rexburg, ID
Otolaryngology in Rexburg, Idaho, registered in NPPES in July 2006. The authorized official on file is Debbie Sue Bulstrode, Office Manager.
Overview
| NPI | 1265458400 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | Jan 17, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | 40 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|