MR. BRIAN JOSEPH DECKER


Address: 1327 E 17th St, Idaho Falls, ID 83404
Phone: 2085383122

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
NP616A ID Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 806669300 05
ID BLUE CROSS OF IDAHO NPXP9 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1301 E 17th St, Idaho Falls, ID 83404 2085383122

Other Providers BRIAN DECKER

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

Office Location

Street Address 1327 E 17TH ST
City IDAHO FALLS
State ID
Zip Code 83404

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City IDAHO FALLS
Zip Code 83404

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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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