Individual provider Active NPI

Brett Scott Talbot, M.D.

  • Diagnostic Radiology Physician
  • Idaho Falls, ID
National Provider Identifier
1356630420
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M13654 Issued in ID
Practice address
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone
(208) 529-6111
NPI assigned
Mar 29, 2011
Last updated
May 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M13654 ID Primary

Addresses

Primary practice location

3100 Channing Way
Idaho Falls, ID 83404-7533

Mailing address

2265 E Sunnyside Rd
Idaho Falls, ID 83404-7598
Phone (208) 542-5000

Other identifiers 1

IdentifierTypeStateIssuer
13566304720MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WY, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170606000835 MT Practitioner - Diagnostic Radiology 9335434091 Reassigns benefits to 6 organizations
I20170606000883 WY Practitioner - Diagnostic Radiology 9335434091 Reassigns benefits to 9 organizations
I20170606000922 ID Practitioner - Diagnostic Radiology 9335434091 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teton Radiology CaldwellGroup PAC ID 2365892742, 16 clinicians
Cache Valley VeinGroup PAC ID 5294069563, 36 clinicians
Teton Radiology Madison LLCGroup PAC ID 6901958024, 40 clinicians

Practice addresses (Care Compare)

110 Hospital LN
Afton, WY 83110-9409
Phone (208) 454-0742

1100 Hollenbeck LN
Deer Lodge, MT 59722-2317
Phone (208) 522-3017

1320 Bishop Randall Dr
Lander, WY 82520-3939
Phone (208) 356-4888

2001 S Woodruff Ave
Suite 17
Idaho Falls, ID 83404-6372
Phone (208) 524-7237

2100 W Sunset Dr
Riverton, WY 82501-2274
Phone (208) 522-3017

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 454-0742

2327 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 454-0742

310 N Sansome St
Philipsburg, MT 59858-7554
Phone (208) 715-5220

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 454-0742

425 E 4TH
Rexburg, ID 83440-5390
Phone (208) 356-4888

4519 Enterprise Way
Caldwell, ID 83605-8055
Phone (208) 454-0742

901 Adams St
Afton, WY 83110-9621
Phone (208) 715-5220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M13654IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Radiology Diagnostic a Series of Teton Group Enterprise Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Elevation Medical Imaging Evanston CurrentSince Aug 1, 2024 Accepting new patients
North Lincoln County Hospital District CurrentSince Sep 29, 2023 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Oct 15, 2017 Accepting new patients
Teton Radiology Caldwell Diagnostic Radiology CurrentSince Nov 12, 2023 Accepting new patients
Teton Radiology Madison LLC CurrentSince Jul 1, 2017 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Oct 15, 2017 Accepting new patients
Teton Vascular Institute of Pocatello a Series of Teton Group CurrentSince Sep 16, 2023 Accepting new patients
Memorial Hospital of Carbon County Family Medicine Current Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
North Lincoln County Hospital District Family Medicine CurrentSince Sep 29, 2023 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Cache Valley Vein CurrentSince Aug 22, 2023 Accepting new patients
Medical Imaging Assoc of Idaho Falls, PA PastSince Jun 26, 2022 Accepting new patients

Locations (25 of 42)

510 Roosevelt St
American Fls, ID 83211
Phone (208) 226-2327

1441 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600

1441 Parkway Dr
Rm T9
Blackfoot, ID 83221
Phone (208) 785-2600

350 N Meridian St
Blackfoot, ID 83221
Phone (208) 782-0300

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

4519 Enterprise Way
Caldwell, ID 83605
Phone (208) 454-4960

1957 E 17th St
Idaho Falls, ID 83404
Phone (208) 523-1100

2001 S Woodruff Ave
Ste 17
Idaho Falls, ID 83404
Phone (208) 524-7237

2235 E 25th St
Idaho Falls, ID 83404
Phone (208) 522-9812

2265 E Sunnyside Rd
Idaho Falls, ID 83404

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000

2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448

2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600

25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221

150 N 200 W
Malad City, ID 83252
Phone (208) 766-2231

164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630

1151 Hospital Way
Pocatello, ID 83201
Phone (208) 233-3353

1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032

444 Hospital Way
Ste 111
Pocatello, ID 83201

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

44 N 1st E
Preston, ID 83263
Phone (208) 852-0137

404 N 2nd E
Rexburg, ID 83440
Phone (208) 359-1770

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1356630420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 E SUNNYSIDE RD",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047598",
            "telephone_number": "208-542-5000",
            "fax_number": "208-523-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047533",
            "telephone_number": "208-529-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "BRETT",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M13654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13566304720",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.