Ryan Julian, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-1289 Issued in ID

Practice address

3729 Woodking Dr Ste 1
Idaho Falls, ID 83404-4720

Phone

(208) 356-4900

Fax

(208) 612-6118

NPI assigned

Apr 4, 2016

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Family Practice

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upper Valley Community Health Services IncGroup PAC ID 4385725282, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brio Idaho Healthcare Home health agency, Idaho Falls, ID, CCN 137128
• Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Upper Valley Community Health Services Inc

  dba Grand Peaks Medical

  • Federally Qualified Health Center (FQHC)
  • Saint Anthony, ID
  • NPI 1972792489
  Medicare reassignment Care Compare group NPD
• Upper Valley Community Health Services, Inc.

  dba Grand Peaks Medical and Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Dubois, ID
  • NPI 1649142712
  NPD
• Idaho Behavioral Health Services, LLC

  • Psychiatry Physician
  • Idaho Falls, ID
  • NPI 1831435163
  NPD (past)
• Upper Valley Community Health Services Inc

  dba Grand Peaks Medical

  • Federally Qualified Health Center (FQHC)
  • Rexburg, ID
  • NPI 1124403258
  NPD (past)
• Upper Valley Community Health Services Inc

  dba Grand Peaks Medical

  • Federally Qualified Health Center (FQHC)
  • Idaho Falls, ID
  • NPI 1932961810
  NPD (past)

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

• Brio Idaho Home Health LLC

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1285189548
  Care Compare affiliation
• Eastern Idaho Health Services Inc

  dba Eastern Idaho Regional Medical Center

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1225082209
  Care Compare affiliation

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1487017653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834450018",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 WOODKING DR STE 1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044720",
            "telephone_number": "208-356-4900",
            "fax_number": "208-612-6118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 E Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saint Anthony",
            "state": "ID",
            "postal_code": "834451546",
            "country_code": "US",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 S 1st E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834401965",
            "country_code": "US",
            "telephone_number": "208-356-4900",
            "fax_number": "208-356-3724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "RYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-1289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Christopher Joyner, PA-C
• JSC Anesthesia PC
• Jubilation House, LLC
• Madison Judy
• Julian Debruynkops MD PA
• Julius Behavioral Corporation
• Juniper Counseling PLLC
• Just 4 Kids Health LLC (Just 4 Kids Urgent Care)
• Just 4 Kids Health LLC (Just 4 Kids Mental Health)
• Just 4 Kids Home Health

• Family Medicine Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.