Organization Active NPI

Brizzee Family Medicine Inc

  • Family Medicine Physician
  • Pocatello, ID
National Provider Identifier
1629392626
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0516 Issued in ID
Legal business name
BRIZZEE FAMILY MEDICINE INC
Practice address
2010 Flandro Dr
Pocatello, ID 83202-1947
Phone
(208) 238-0600
Fax
(208) 238-0603
NPI assigned
Mar 18, 2010
Last updated
Mar 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
David Paul Brizzee, D.O.NPI 1225234420
Title
President
Phone
(208) 757-1577

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-0516 ID Primary

Addresses

Primary practice location

2010 Flandro Dr
Pocatello, ID 83202-1947

Mailing address

2010 Flandro Dr
Pocatello, ID 83202-1947
Phone (208) 238-0600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100805000103 ID Part B Supplier - Clinic/Group Practice 3375676703 Receives reassigned benefits from 2 practitioners
Practice locations: Pocatello, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2011099Brizzee Family Medicine2010 Flandro Dr, Pocatello, ID 83202Provider-performed microscopyAug 10, 2026

National Provider Directory

National Provider Directory

Locations

2010 Flandro Dr
Pocatello, ID 83202
Phone (208) 238-0600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1629392626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 FLANDRO DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832021947",
            "telephone_number": "208-238-0600",
            "fax_number": "208-238-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 FLANDRO DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832021947",
            "telephone_number": "208-238-0600",
            "fax_number": "208-238-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIZZEE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "BRIZZEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-757-1577",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.