Bryan James Anderson MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BRYAN JAMES ANDERSON MD PC

Practice address

6140 W Curtisian Ave Ste 400
Boise, ID 83704-8907

Phone

(208) 321-5275

Fax

(208) 327-5602

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Bryan Anderson, MD

Title

Owner

Phone

(208) 321-5275

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1245891787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN AVE STE 400",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048907",
            "telephone_number": "208-327-5635",
            "fax_number": "208-327-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN AVE STE 400",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048907",
            "telephone_number": "208-321-5275",
            "fax_number": "208-327-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN JAMES ANDERSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-321-5275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811059264",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kattie Lynn Bruno, LMSW
• Scott Brunson, MD
• Nancy A Brus, M.D.
• Bryan C Pogue MD
• Bryan J Anderson MD PC
• Crystalyn Lou Bryan, NP-C
• Thornton E Bryan III, MD
• Brian Eric Bryant, RN
• Deondre L Bryant, ICADC, SAP
• Erin Bryant, LCSW

• Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.