Brent Leedle, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M-10527 Issued in ID

Practice address

606 N 3Rd Ave Ste 201
Sandpoint, ID 83864-1689

Phone

(208) 263-8597

Fax

(208) 265-0667

NPI assigned

Sep 9, 2005

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

Uniformed Services Uhs Fe Hebert School of Med, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bonner General Hospital IncGroup PAC ID 4082690466, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
• Boundary Community Hospital Hospital, Bonners Ferry, ID, CCN 131301

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brent.leedle@bgh.gwaydirect.com

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.

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Medicare reassignment Care Compare group
• Bonner General Hospital, Inc

  dba Bonner General Behavioral Health

  • Psychiatry Physician
  • Sandpoint, ID
  • NPI 1982112660
  NPD
• Bonner General Hospital, Inc

  dba Bonner General Orthopedics

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sandpoint, ID
  • NPI 1982060984
  NPD (past)
• Bonner General Hospital, Inc

  dba Sandpoint Womens Health

  • Gynecology Physician
  • Sandpoint, ID
  • NPI 1992069454
  NPD (past)

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

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Care Compare affiliation
• Boundary Community Hospital

  • Critical Access Hospital
  • Bonners Ferry, ID
  • NPI 1801896683
  Care Compare affiliation

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1306830922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N 3RD AVE STE 201",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641689",
            "telephone_number": "208-263-8597",
            "fax_number": "208-265-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 3RD AVE STE 201",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641689",
            "telephone_number": "208-263-8597",
            "fax_number": "208-265-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDLE",
        "first_name": "BRENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": "8474",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-10527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas L Lawrence, M.D.
• Nova Orion Layton
• Robin Joan Leary
• Garrett Mathew Lee-Strizich, MD
• Richard Lee
• W Hugh Leedy, M.D.
• Mary Catherine Leonard, DNP, FNP-C
• Lewis & Hawn Excellence in Dentistry PLLC
• James B Lewis, DMD
• Nadine M Lewis, LCSW

• Orthopaedic Surgery Physician in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.