| Dr Julian De Bruyn Kops Iii, MD | |
|
2065 E 17th, Ste C, Idaho Falls, ID 83404 | |
| (208) 522-6106 | |
| (208) 522-6142 |
| Full Name | Dr Julian De Bruyn Kops Iii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 53 Years |
| Location | 2065 E 17th, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922086552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD3222 (Idaho) | Primary |
| 207Q00000X | Family Medicine | G25832 (California) | Secondary |
| 207Q00000X | Family Medicine | MD08869 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lost Rivers Medical Center | Arco, ID | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Julian Debruynkops Md Pa | 2668651043 | 2 |
| Entity Name | Julian Debruynkops Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932417607 PECOS PAC ID: 2668651043 Enrollment ID: O20110201000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julian De Bruyn Kops Iii, MD 2065 E 17th, Ste C, Idaho Falls, ID 83404 Ph: (208) 522-6106 | Dr Julian De Bruyn Kops Iii, MD 2065 E 17th, Ste C, Idaho Falls, ID 83404 Ph: (208) 522-6106 |
Dr. Matthew Scott Payne, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 304, Idaho Falls, ID 83404 Phone: 208-535-4580 Fax: 208-535-4520 | |
Matthew G Taylor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 205, Idaho Falls, ID 83404 Phone: 208-535-4580 Fax: 208-535-4520 | |
Mr. Bradly Kenneth Leroy Brown, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2730 Channing Way, Idaho Falls, ID 83404 Phone: 208-542-7100 Fax: 208-542-7150 | |
Michael Thomas Long, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-973-2144 | |
Dr. Peter Jeffrey Thompson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1995 E 17th St, Idaho Falls, ID 83404 Phone: 208-529-5252 Fax: 208-529-4434 | |
Dr. Eric Bennett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2775 Channing Way, Idaho Falls, ID 83404 Phone: 208-524-0133 | |
Wallace C Baker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1880 John Adams Pkwy, Idaho Falls, ID 83401 Phone: 208-524-6633 Fax: 208-524-9952 |