Individual provider Active NPI

Brian R Hobbs, CRNA

  • Certified Registered Nurse Anesthetist
  • Idaho Falls, ID
National Provider Identifier
1396824819
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA200 Issued in ID
Practice address
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone
(208) 557-2700
NPI assigned
Nov 3, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA200 ID Primary

Addresses

Primary practice location

2325 Coronado St
Idaho Falls, ID 83404-7407

Mailing address

PO Box 3206
Idaho Falls, ID 83403-3206
Phone (208) 523-4906

Other identifiers 1

IdentifierTypeStateIssuer
4300769652OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111103000610 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153591276 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RNA200IDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Hospital LLC CurrentSince Apr 1, 2016 Accepting new patients
Mountain View Hospital LLC CurrentSince Apr 1, 2016 Accepting new patients
Brian R Hobbs Crna PC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Eagle Rock Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Intermountain Anesthesia, PA Nurse Anesthetist, Certified Registered PastSince Jul 28, 2019 Accepting new patients
Eagle Rock Anesthesia, PLLC Past Accepting new patients

Locations

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

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

3369 Merlin Dr
#A
Idaho Falls, ID 83404
Phone (208) 524-8351

3555 Potomac Way
Idaho Falls, ID 83404

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1396824819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3206",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033206",
            "telephone_number": "208-523-4906",
            "fax_number": "208-523-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047407",
            "telephone_number": "208-557-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "BRIAN",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "4300769652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.