DR. ROBERT BRENT HUBBARD


Address: 12888 Porcupine Pass, Lava Hot Springs, ID 83246-0834
Phone: 2087765385

DR. ROBERT BRENT HUBBARD (NPI# 1437371812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437371812
Entity Type Individual
Full Name DR. ROBERT BRENT HUBBARD
Credential MD
Practice Address 12888 Porcupine Pass
Lava Hot Springs
ID 83246-0834
Practice Telephone 2087765385
Practice Fax Number 2087765385
Mailing Telephone 2087765385
Mailing Fax Number 2087765385
Enumeration Date 2007-05-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
M-2847 ID Allopathic & Osteopathic Physicians

Other Providers ROBERT HUBBARD

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1588824643 Robert Hubbard Dentist 120 W Bower Ave, Harrison, AR 72601-3521 2008-06-12
1669469631 Robert Francis Hubbard Family Medicine 8960 Colonial Center Drive, Suite 300, Fort Myers, FL 33905-7810 2005-10-04
1750640876 Robert Douglas Hubbard Counselor 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 2012-05-09
1518249077 Robert C. Hubbard IIi Pharmacist 2004 Wards Rd, Lynchburg, VA 24502-5310 2011-09-12
1891908984 Robert Glen Hubbard Dentist 2565 S Rochester Rd, Suite 101, Rochester Hills, MI 48307 2007-05-07
1982721502 Robert C. Hubbard IIi Pharmacist 402 College Ave, Suite 1, Clemson, SC 29631-2923 2007-03-26
1508840786 Robert John Hubbard Pathology 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2005-12-01

Office Location

Street Address 12888 PORCUPINE PASS
City LAVA HOT SPRINGS
State ID
Zip Code 83246-0834

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437685799 Road To Recovery, Inc. Substance Abuse Rehabilitation Facility 165 W. Main, Lava Hot Springs, ID 83246 2017-05-05
1033573993 Therapy In Motion Inc Substance Abuse Rehabilitation Facility 178 West Main Street, Lava Hot Springs, ID 83246 2016-04-07
1346633849 Therapy In Motion Inc Substance Abuse Rehabilitation Facility 165 West Main St, Lava Hot Springs, ID 83246 2015-03-09
1851589139 John C. Fleming Social Worker 165 West Main Street, Lava Hot Springs, ID 83246 2007-10-11
1427057926 Health West, Inc. Family Medicine 85 S 5th W, Lava Hot Springs, ID 83246 2005-07-18
1194366013 Tina Guedes Nurse Practitioner 85 S 5th W, Lava Hot Springs, ID 83246 2019-10-02
1699767004 Helene P Edmo Nurse Practitioner 85 S 5th W, Lava Hot Springs, ID 83246 2005-08-22
1356418412 Pamela Goodliffe Dentist 585 West Booth, Lava Hot Springs, ID 83246-0458 2006-11-30

Providers in the same city

NPI Name Taxonomy Address Enumeration
1437685799 Road To Recovery, Inc. Substance Abuse Rehabilitation Facility 165 W. Main, Lava Hot Springs, ID 83246 2017-05-05
1033573993 Therapy In Motion Inc Substance Abuse Rehabilitation Facility 178 West Main Street, Lava Hot Springs, ID 83246 2016-04-07
1346633849 Therapy In Motion Inc Substance Abuse Rehabilitation Facility 165 West Main St, Lava Hot Springs, ID 83246 2015-03-09
1851589139 John C. Fleming Social Worker 165 West Main Street, Lava Hot Springs, ID 83246 2007-10-11
1356418412 Pamela Goodliffe Dentist 585 West Booth, Lava Hot Springs, ID 83246-0458 2006-11-30
1427057926 Health West, Inc. Family Medicine 85 S 5th W, Lava Hot Springs, ID 83246 2005-07-18
1194366013 Tina Guedes Nurse Practitioner 85 S 5th W, Lava Hot Springs, ID 83246 2019-10-02
1699767004 Helene P Edmo Nurse Practitioner 85 S 5th W, Lava Hot Springs, ID 83246 2005-08-22

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518597285 Katie Clegg Radiology 593 W 24th St, Burley, ID 83318-2803 2020-01-22
1376920553 Creighton Lewis Radiology 500 West Fort St. #111r, Boise Vamc, Boise, ID 83702 2015-04-27
1598176448 Derek A Khorsand Radiology Kootenai Health, 2003 Kootenai Way, Coeur D'alene, ID 83814 2014-05-14
1578903191 Miriam Bryna Hulkower Radiology 1839 N Govt Way Ste B, Coeur D Alene, ID 83814-3454 2013-06-27
1750647913 Philip John Dougherty Radiology 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401 2012-04-02
1356510143 Newell Kay Richardson Radiology 2088 E 49th South, Idaho Falls, ID 83404-7649 2008-02-26
1477733574 Cameron J Evans Radiology 4121 N 2600 E, Filer, ID 83328-5155 2007-11-06
1295926061 Michael Modica Radiology 877 W Main St, Suite 603, Boise, ID 83702-5883 2007-08-07
1972709590 Stephen Arthur Sherman Radiology 4685 Flora Dr, Pocatello, ID 83204-4568 2007-06-21
1891999165 Vidvuds Bandrevics Radiology 102 Canyon Rd, Hailey, ID 83333-5067 2007-06-12
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Competitor

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City LAVA HOT SPRINGS
Zip Code 83246

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Dataset Information

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.

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