Brodi Smith DO PLLC
NPI 1659863207ActiveOrganization· Surgery· Idaho Falls, ID
Surgery in Idaho Falls, Idaho, registered in NPPES in May 2018. The authorized official on file is Brodi Smith, DO, Do. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659863207 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2018 |
| Last updated in NPPES | Aug 1, 2024 |
| Certified by provider | Aug 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | O1114 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other Surgery providers in Idaho Falls
- 1922512722
- 1730257791
- 1336246701
- 1790012383
- 1770680191
- 1609968056
- 1528127057
- 1508514407
- 1164372777
- 1215716998
- 1376565473
- 1427051747