Active NPI
Scott Brunson, MD
- Emergency Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M-14638
- Practice address
- 500 W Fort St # 111
Boise, ID 83702-4501 - Phone
- (208) 422-1000
- NPI assigned
- Apr 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Q6156 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | M-14638 | ID | Primary |
Addresses
Primary practice location
500 W Fort St # 111
Boise, ID 83702-4501
Mailing address
500 W Fort St # 111
Boise, ID 83702-4599
Phone (208) 422-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q6156 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Carepoint Health Emergency Medicine Idaho, PLLC | Emergency Medicine | Current | Accepting new patients |
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Century Integrated Partners, Inc | Emergency Medicine | Current | Accepting new patients |
| Mother Frances Hospital Jacksonville | Current | Accepting new patients |
Locations
1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719
1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338
3500 Gaston Ave
Dallas, TX 75246
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- sbrunson236292@christushealth.direct-ci.net
- https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Caldwell, ID
- NPI 1285275461
-
- Critical Access Hospital
- Emmett, ID
- NPI 1063419018
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1174941660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W FORT ST # 111",
"city": "BOISE",
"state": "ID",
"postal_code": "837024599",
"telephone_number": "208-422-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W FORT ST # 111",
"city": "BOISE",
"state": "ID",
"postal_code": "837024501",
"telephone_number": "208-422-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNSON",
"first_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q6156",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M-14638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.