Active NPI
Idaho Bariatric and Metabolic Institute L.L.C.
- Surgery Physician
- Meridian, ID
National Provider Identifier
1477014207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- IDAHO BARIATRIC AND METABOLIC INSTITUTE L.L.C.
- Practice address
- 2960 E. St. Luke'S St.
Suite 200
Meridian, ID 83642-9005 - Phone
- (208) 378-4264
- Fax
- (208) 957-6891
- NPI assigned
- Mar 26, 2019
- 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
- David J Brown, MD
- Title
- Physician
- Phone
- (208) 378-4264
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Obstetrics & Gynecology) Physician | 207VB0002X | |||
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | |||
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2960 E. St. Luke'S St.
Suite 200
Meridian, ID 83642-9005
Mailing address
2960 E. St. Luke'S St.
Suite 200
Meridian, ID 83642-9005
Phone (208) 378-4264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184652364 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
2960 E St Lukes St Ste 200
Ste 200
Meridian, ID 83642
Phone (208) 378-4264
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Meridian, ID
- NPI 1730705856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744243200000",
"number": "1477014207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 E. ST. LUKE'S ST.",
"address_2": "SUITE 200",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429005",
"telephone_number": "208-378-4264",
"fax_number": "208-957-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 E. ST. LUKE'S ST.",
"address_2": "SUITE 200",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429005",
"telephone_number": "208-378-4264",
"fax_number": "208-957-6891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDAHO BARIATRIC AND METABOLIC INSTITUTE L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-26",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "208-378-4264",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184652364",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
- I Can PT LLC
- Id Specialty Dental Services, PLLC
- Idaho Anesthesia Partners LLC
- Idaho Anti-Trafficking Coalition
- Idaho Arthritis & Osteoporosis Center PC
- Idaho Commission on Aging
- Idaho Consumer Direct Personal Care, LLC
- Idaho Counseling and Neurofeedback
- Idaho Dental Anesthesia PLLC
- Idaho Dental Professionals, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.