Teton Surgical Specialties PLLC

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

Legal business name

TETON SURGICAL SPECIALTIES PLLC

Practice address

1540 Elk Creek Dr
Idaho Falls, ID 83404-8322

Phone

(844) 919-4263

Fax

(833) 513-0980

NPI assigned

Mar 18, 2019

Organization subpart

No

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

Authorized official

Name

Bruce James WatkinsNPI 1326240425

Title

MD

Phone

(844) 919-4263

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teton Hand Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

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

• Bruce James Watkins, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Idaho Falls, ID
  • NPI 1326240425
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1043779127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "844-919-4263",
            "fax_number": "833-513-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "844-919-4263",
            "fax_number": "833-513-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON SURGICAL SPECIALTIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "844-919-4263"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326240425",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teton Hand Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teton Outpatient, LLC
• Teton Physical Therapy, Inc
• Teton Plastic Surgery
• Teton Radiology Diagnostic a Series of Teton Group Enterprise
• Teton Radiology Diagnostic, LLC
• Teton Women'S Health Center
• Alisha Michelle Tew, CMA, CNA, PA
• Dustin Ferrel Tew, D.O.
• Joshua Gerald Tew, PA-C
• Kody Kurtis Tew, PA-C

• Surgery of the Hand (Surgery) Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Surgery of the Hand (Surgery) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.