MR. BRIAN JOSEPH DECKER (NPI# 1760421051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760421051 |
| Entity Type | Individual |
| Full Name | MR. BRIAN JOSEPH DECKER |
| Credential | FNPC |
| Practice Address |
1327 E 17th St Idaho Falls ID 83404 |
| Mailing Address |
1327 E 17th St Idaho Falls ID 83404-6235 |
| Practice Telephone | 2085383122 |
| Mailing Telephone | 2085383122 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP616A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806669300 | 05 | |
| ID | BLUE CROSS OF IDAHO | NPXP9 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 E 17th St, Idaho Falls, ID 83404 | 2085383122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487674610 | Brian C Decker II | Dentist | 7575 W University Ave, Suite P, Gainesville, FL 32607-7600 | 2006-07-20 |
| 1053840843 | Brian Decker | Counselor | 114 Genesee St, Utica, NY 13502-3508 | 2017-06-06 |
| 1861761157 | Brian Nutt Decker | Student in an Organized Health Care Education/Training Program | 200 N Greensboro St, Carrboro, NC 27510-1833 | 2011-12-15 |
| 1104008648 | Brian Decker | Pharmacist | 311 Route 9w, Glenmont, NY 12077-2909 | 2007-11-27 |
| 1801809157 | Brian J Decker | Family Medicine | 7782 20th Ave, Jenison, MI 49428 | 2006-08-15 |
| Street Address |
1327 E 17TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587332 | Angella Joy Catlin | Social Worker | 1327 E 17th St, Idaho Falls, ID 83404-6235 | 2019-09-19 |
| 1659860724 | Jared John Martin | Nurse Practitioner | 1327 E 17th St, Idaho Falls, ID 83404-6235 | 2018-05-04 |
| 1780138206 | Karl Winegar | Social Worker | 1327 E 17th St, Idaho Falls, ID 83404-6235 | 2016-08-12 |
| 1285089144 | Brant Parkinson | Physician Assistant | 1327 E 17th St, Idaho Falls, ID 83404-6235 | 2016-04-28 |
| 1306151030 | Alison Muir | Social Worker | 1327 E 17th St, Idaho Falls, ID 83404-6235 | 2010-08-18 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802790 | Magno C. Santos Msn, Fnp-c Pllc | Nurse Practitioner | 2184 Channing Way # 283, Idaho Falls, ID 83404-8034 | 2020-08-21 |
| 1023626876 | Sandy Palma | Nurse Practitioner | 2155 Rendezvous Rd, Idaho Falls, ID 83402-3885 | 2020-07-17 |
| 1508483173 | Angela Kirsten Johnston | Nurse Practitioner | 2243 E 17th St, Idaho Falls, ID 83404-6519 | 2020-06-30 |
| 1922652171 | Amanda Goodliffe | Nurse Practitioner | 3993 E 109 N, Idaho Falls, ID 83401-5436 | 2019-07-26 |
| 1730744947 | Samantha De Bruyn Kops | Nurse Practitioner | 2065 E 17th St Ste C, Idaho Falls, ID 83404-8042 | 2019-05-02 |
| 1952866063 | Tiffany Ann Williams | Nurse Practitioner | 1223 Cabin Cv, Idaho Falls, ID 83404-8298 | 2019-02-02 |
| 1881172963 | Kboll Healthcare | Nurse Practitioner | 2305 Coronado St, Idaho Falls, ID 83404-7407 | 2018-08-01 |
| 1740771898 | Elizabeth Ann Sharp-marsden | Nurse Practitioner | 2275 Channing Way, Idaho Falls, ID 83404-8012 | 2018-05-24 |
| 1346737608 | Melissa Plaisted | Nurse Practitioner | 2877 N Woodbine Rd, Idaho Falls, ID 83401-1254 | 2018-04-21 |
| 1083067268 | Eulalia Adriana Aljayoushi | Nurse Practitioner | 1995 E 17th St Ste 1, Idaho Falls, ID 83404-6493 | 2016-07-22 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on MR. BRIAN JOSEPH DECKER.
| 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.