| Brigham Hardy, DO | |
|
1202 E Locust St, Emmett, ID 83617-2715 | |
| (208) 365-3561 | |
| Not Available |
| Full Name | Brigham Hardy |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1202 E Locust St, Emmett, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700579703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7461172 (Idaho) | Primary |
| Entity Name | Caribou Medical Center, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20211021002404 |
| Entity Name | Caribou Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20220314000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Brigham Hardy, DO 1202 E Locust St, Emmett, ID 83617-2715 Ph: (208) 365-3561 | Brigham Hardy, DO 1202 E Locust St, Emmett, ID 83617-2715 Ph: (208) 365-3561 |
Shannon D. Schantz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 Fax: 208-365-1065 | |
Kirk D Prodzinski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 Fax: 208-365-1068 | |
Morgan Riley Ruiz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 E Locust St, Emmett, ID 83617 Phone: 208-365-6004 | |
Tina A Mcguffey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 426 Highway 16, Emmett, ID 83617 Phone: 208-365-2735 Fax: 208-365-2737 | |
Jonathan Bret Barrus, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 S Johns Ave Ste B, Emmett, ID 83617 Phone: 208-369-4340 | |
Dr. Robin D Sebastian, M.D., FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 E Locust St, Emmett, ID 83617 Phone: 208-365-6004 Fax: 208-365-3589 | |
Klint Howard Stander, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1202 E Locast St, Walter Knox Memorial Hospital, Emmett, ID 83617 Phone: 208-365-3561 Fax: 208-365-4176 |