Bryant Belnap PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-343 Issued in ID

Legal business name

BRYANT BELNAP PA

Practice address

3345 Merlin Dr
Suite 100
Idaho Falls, ID 83404-7405

Phone

(120) 852-2448

Fax

(120) 852-2613

NPI assigned

Apr 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Scrogham

Title

Office Manager

Phone

(208) 522-4481

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam D Cook, DPT

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1316402159
  NPD (past)
• Jeremy Brown, MPT

  • Orthopedic Physical Therapist
  • Brea, CA
  • NPI 1821397332
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1003080813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 MERLIN DR",
            "address_2": "SUITE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047405",
            "telephone_number": "120-852-2448",
            "fax_number": "120-852-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 MERLIN DR",
            "address_2": "SUITE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047405",
            "telephone_number": "120-852-2448",
            "fax_number": "120-852-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT BELNAP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SCROGHAM",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "12085224481"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001244100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy R Brumfield, D.O.
• Brunson Chiropractic PA
• Inez Brunson
• Jaman B Brunson, D.C.
• Malisa Bryan
• Marlene Myra Bubar, MARLENE BUBAR
• Zachary D Buckland, FNP-C
• Trent Charles Buehler, DMD
• Kimberli A Buer, LCSW
• Monika Ann Buerger, D.C.

• Physical Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.