BRYAN L. DRAKE, D.O.


Address: 360 E Liberty St, Weiser, ID 83672-2261
Phone: 2084141124

BRYAN L. DRAKE, D.O. (NPI# 1518997345) 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) 1518997345
Entity Type Organization
Organization Name BRYAN L. DRAKE, D.O.
Other Organization Name FAMILY MEDICAL CENTER
Practice Address 360 E Liberty St
Weiser
ID 83672-2261
Practice Telephone 2084141124
Practice Fax Number 2084140947
Mailing Telephone 2084141124
Mailing Fax Number 2084140947
Enumeration Date 2006-07-04
Last Update Date 2020-08-22
Authorized Official Name DR. BRYAN L DRAKE (OWNER)
Authorized Official Telephone 2084141124
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 0-67 ID Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Family Medical Center Doing Business As Name - Organization

Office Location

Street Address 360 E LIBERTY ST
City WEISER
State ID
Zip Code 83672-2261

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598707226 Bryon D Hemphill Family Medicine 360 E Liberty St, Weiser, ID 83672-2261 2006-06-10
1871973198 Bradley Wescott Terry Family Medicine 360 E Liberty St, Weiser, ID 83672-2261 2015-06-02
1144516717 Weiser Physicians Clinic Family Medicine 360 E Liberty St, Weiser, ID 83672-2261 2011-06-22
1144264011 Bryan L Drake Family Medicine 360 E Liberty St, Weiser, ID 83672-2261 2006-06-15
1972545556 Family Medical Center Pllc Family Medicine 360 E Liberty St, Weiser, ID 83672-2261 2006-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891176798 Christine Cooper Nurse Practitioner 35 W Idaho St, Weiser, ID 83672 2015-06-16
1356630941 Jordan V Blanchard Family Medicine 360 E. Liberty, Weiser, ID 83672 2011-04-04
1427038231 Christopher Earl Malloy Dentist 1067 Hwy 95, Weiser, ID 83672 2006-01-18
1457508418 Christy Earlean Marvin Home Health Aide 1111 E Main St, Weiser, ID 83672 2008-08-21
1255364030 Weiser Valley Hospital District Orthopaedic Surgery 645 E. 5th St., Weiser, ID 83672 2006-07-07
1568685543 Weiser School District #431 Specialist 925 Pioneer Rd, Weiser, ID 83672-1146 2007-04-10
1275147712 Madison Caldwell Counselor 925 Pioneer Rd, Weiser, ID 83672-1146 2020-09-02
1588108872 Laura Haun Specialist/Technologist 275 Mcginnis Dr, Weiser, ID 83672-1262 2016-12-06
1073537486 Bi-mart Corporation Durable Medical Equipment & Medical Supplies 1545 E 6th St, Weiser, ID 83672-1495 2006-07-27
1164047635 Bridget Moore Pharmacy Technician 1545 E 6th St, Weiser, ID 83672-1495 2020-06-10
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992323216 Wolf Pack LLC Clinic/Center 939 S 25th E Ste 115, Ammon, ID 83406-5736 2020-07-13
1831730118 Falls Medical Aesthetics, Pllc Clinic/Center 814 Pancheri Dr, Idaho Falls, ID 83402-3344 2019-10-08
1164072187 Peter John Leichtnam Clinic/Center 1200 W Ironwood Dr Ste 309, Coeur D Alene, ID 83814-2660 2019-09-12
1124674437 Michael J. Moorhouse Inc. Clinic/Center 13900 W Wainwright Dr Ste 100, Boise, ID 83713-5028 2019-08-13
1093368276 Korena Popp Fnp Medical Services LLC Clinic/Center 454 W Roseberry Rd. Ste 104, Donnelly, ID 83615-8361 2019-07-17
1528623915 D & S Works Clinic/Center 5622 W State St, Boise, ID 83703-3010 2019-05-01
1609335090 Hurst Medical Pllc Clinic/Center 1700 Overland Ave Ste 1, Burley, ID 83318 2019-03-15
1912487646 Ideal Option, Pllc Clinic/Center 509 W Hanley Ave Ste 101, Coeur D Alene, ID 83815-8994 2018-08-21
1801376256 Ideal Option, Pllc Clinic/Center 1111 Blue Lakes Blvd N Ste E, Twin Falls, ID 83301-3437 2018-08-15
1649759374 North Canyon Mountain Home Clinic Clinic/Center 840 N 4th E, Mountain Home, ID 83647-2166 2018-08-13
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Competitor

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City WEISER
Zip Code 83672

Improve Information

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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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