Kelly Bridges Neurosurgery PLLC
NPI 1851949713ActiveOrganization· Neurological Surgery· Boise, ID
Neurological Surgery in Boise, Idaho, registered in NPPES in September 2019. The authorized official on file is Kelly J. Bridges, MD, Owner. Enrolled in Medicare as dme supplier - physician - neurosurgery and part b supplier - clinic/group practice.
Overview
| NPI | 1851949713 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2019 |
| Last updated in NPPES | May 9, 2022 |
| Certified by provider | May 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | — | — |
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 DME Supplier - Physician - Neurosurgery (ID); Part B Supplier - Clinic/Group Practice (ID) |
|---|
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