Active NPI
Eagle'S View Family Medicine, PC
- Family Medicine Physician
- Boise, ID
National Provider Identifier
1295832210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EAGLE'S VIEW FAMILY MEDICINE, PC
- Practice address
- 6023 N Eagle Rd
Boise, ID 83713-0997 - Phone
- (208) 938-5524
- Fax
- (208) 938-2150
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Brus, M.D.
- Title
- Secretary
- Phone
- (208) 938-5524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6023 N Eagle Rd
Boise, ID 83713-0997
Mailing address
6023 N Eagle Rd
Boise, ID 83713-0997
Phone (208) 938-5524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8C-055 | Other | ID | BLUE CROSS OF IDAHO |
National Provider Directory
National Provider DirectoryLocations
6023 N Eagle Rd
Boise, ID 83713
Phone (208) 322-7284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295832210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6023 N EAGLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837130997",
"telephone_number": "208-938-5524",
"fax_number": "208-938-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6023 N EAGLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837130997",
"telephone_number": "208-938-5524",
"fax_number": "208-938-2150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE'S VIEW FAMILY MEDICINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRUS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "208-938-5524",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "8C-055",
"state": "ID"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.