| Julian Debruynkops MD PA | |
|
2065 E 17th St Suite C Idaho Falls ID 83404-8042 | |
| (208) 522-6106 | |
| Not Available |
| Full Name | Julian Debruynkops MD PA |
|---|---|
| Speciality | Family Medicine |
| Location | 2065 E 17th St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Julian De Bruyn Kops (DIRECTOR) |
| Authorized Official Contact | 2085226106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julian Debruynkops MD PA 2065 E 17th St Suite C Idaho Falls ID 83404-8042 Ph: (208) 522-6106 | Julian Debruynkops MD PA 2065 E 17th St Suite C Idaho Falls ID 83404-8042 Ph: (208) 522-6106 |
| NPI Number | 1932417607 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 11/19/2010 |
| Medicare PECOS PAC ID | 2668651043 |
|---|---|
| Medicare Enrollment ID | O20110201000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932417607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M3222 (Idaho) | Primary |
| Provider Name | Julian De Bruyn Kops |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922086552 PECOS PAC ID: 5193904571 Enrollment ID: I20110201000632 |
| Provider Name | Samantha De Bruyn Kops |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730744947 PECOS PAC ID: 1456685122 Enrollment ID: I20190628002896 |
Shane G Machen, DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 E 17th St Ste A, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 |
Physician Skin Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 |
Family First Medical Center, PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3614 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-552-7700 Fax: 208-552-1783 |
Imed Hrs Idaho Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 801-507-3500 |
Neville Spinal Balance PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2145 West Broadway Street, Idaho Falls, ID 83402 Phone: 208-522-3130 |
R.K. Arbon, M.D., P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 116, Idaho Falls, ID 83404 Phone: 208-529-0575 Fax: 208-528-0223 |