Bryn Elise Parker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-12914 Issued in ID

Practice address

623 S Main St Ste 1
Moscow, ID 83843-2983

Phone

(208) 882-2011

Fax

(208) 883-1853

NPI assigned

May 20, 2011

Sex

Female

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

Family Practice

Education

University of Washington School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gritman Medical Center Inc 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Lewiston, ID, CCN 137303
• Gritman Medical Center Hospital, Moscow, ID, CCN 131327
• Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331
• Aspen Park of Cascadia Nursing home, Moscow, ID, CCN 135093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bparker689742@direct.ochin.org

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.

• Gritman Medical Center, Inc.

  • Family Medicine Physician
  • Moscow, ID
  • NPI 1538634522

  Family Medicine, ID

  Medicare reassignment Care Compare group NPD
• Gritman Medical Center Inc

  • Critical Access Hospital
  • Moscow, ID
  • NPI 1619988144

  ID

  Medicare reassignment NPD
• Gritman Medical Center Inc.

  • Clinic/Center
  • Moscow, ID
  • NPI 1790182590
  NPD
• Gritman Medical Center, Inc.

  • Family Medicine Physician
  • Lewiston, ID
  • NPI 1588413694

  Family Medicine

  NPD

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

• Alpowa Healthcare, Inc.

  • Home Health Agency
  • Lewiston, ID
  • NPI 1134899719
  Care Compare affiliation
• Gritman Medical Center Inc

  • Critical Access Hospital
  • Moscow, ID
  • NPI 1619988144

  Hospital

  Care Compare affiliation
• Gritman Medical Center Inc.

  • Clinic/Center
  • Moscow, ID
  • NPI 1790182590

  Hospital

  Care Compare affiliation
• Moscow of Cascadia, LLC

  • Skilled Nursing Facility
  • Moscow, ID
  • NPI 1194236406

  Nursing home

  Care Compare affiliation
• Public Hospital District #1-a of Whitman County

  • Critical Access Hospital
  • Pullman, WA
  • NPI 1366446767

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1598058711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 S MAIN ST STE 1",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432983",
            "telephone_number": "208-882-2011",
            "fax_number": "208-883-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 S MAIN ST STE 1",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432983",
            "telephone_number": "208-882-2011",
            "fax_number": "208-883-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BRYN",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML60224509",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-12914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana L Pals, M. ED.
• Panhandle Anesthesia Associates of Moscow
• Paradise Creek Counseling and Consulting
• Paris Investments LLC
• George A Paris, O.D.
• Skyler Parker
• Paige Patino
• Shahna G Paul
• Skyler Lynne Peplinski
• Houston Pepper

• All providers in Moscow, ID
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.