Bryan Vandyke, D.O.

Primary specialty

Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X

License

O-1166 Issued in ID

Practice address

2321 Coronado St
Idaho Falls, ID 83404-7407

Phone

(208) 227-1100

NPI assigned

Apr 3, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Orthopaedics Management and Consulting, LLCGroup PAC ID 6204731227, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health of Eastern Idaho Home health agency, Idaho Falls, ID, CCN 137105
• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018
• Idaho Falls Community Hospital, LLC Hospital, Idaho Falls, ID, CCN 130074

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Summit Orthopaedics Management and Consulting, LLC

  • Orthopaedic Surgery Physician
  • Idaho Falls, ID
  • NPI 1851485031
  Medicare reassignment Care Compare group NPD
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Medicare reassignment NPD
• Summit Orthopaedics Management and Consulting, LLC

  • Durable Medical Equipment & Medical Supplies
  • Idaho Falls, ID
  • NPI 1962545681

  Orthopaedic Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastern Idaho Health Services Inc

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1225082209
  Care Compare affiliation
• Eh Home Health of the West, LLC

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1700167400
  Care Compare affiliation
• Idaho Falls Community Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1114481447
  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1285990374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BOULDER CREEK LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834065114",
            "telephone_number": "919-475-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047407",
            "telephone_number": "208-227-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "ID",
            "license": "O-1166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Van Sickle, D.C.
• Sharli Elizabeth Van Wagenen, BS
• Carl David Vance, MD
• Peter L Vance, MD
• Spencer Vandenburg, OTR/L
• Rebecca Vaughn, PA-C
• Jill Denise Veber, MD
• Lindsay Venn, R.D.L.D., PA-C
• Vernon O. Gaffner, D.M.D., P.a.
• Dannette Sandora Vest, MSW, LCSW

• Orthopaedic Foot and Ankle Surgery Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Orthopaedic Foot and Ankle Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.