BRYCE TAYLOR CHAVEZ (NPI# 1033747290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033747290 |
| Entity Type | Individual |
| Full Name | BRYCE TAYLOR CHAVEZ |
| Credential | MD |
| Practice Address |
3100 Channing Way Idaho Falls ID 83404-7533 |
| Practice Telephone | 2085296111 |
| Mailing Telephone | 2085296111 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3100 CHANNING WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396519 | Jamie L Carter | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2005-06-17 |
| 1821697681 | Taylor Olivia Woodrow | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-10-22 |
| 1154944288 | Kristina Stickley | Dietitian, Registered | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-05-22 |
| 1487274932 | Bailey Elizabeth Kimbel | Registered Nurse | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-24 |
| 1952930109 | Chris Blaine | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1265061493 | Bradley Paul Roth | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1700415023 | Nicole Rosemin | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-07 |
| 1639708027 | Victor Liu | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404 | 2020-04-07 |
| 1194354613 | Matthew James Baechle | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-06 |
| 1639707961 | Dale Carlson Keller | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1902419658 | Holly Marie Cruz | Student in an Organized Health Care Education/Training Program | 540 3rd St, Idaho Falls, ID 83401-3953 | 2020-08-24 |
| 1952930109 | Chris Blaine | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1265061493 | Bradley Paul Roth | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1700415023 | Nicole Rosemin | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-07 |
| 1639708027 | Victor Liu | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404 | 2020-04-07 |
| 1194354613 | Matthew James Baechle | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-06 |
| 1639707961 | Dale Carlson Keller | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-03-31 |
| 1164050548 | Ryan Sauther | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-03-31 |
| 1154959534 | Cassandra M Bormann | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-03-31 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.