Brian W Fortuin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M7263 Issued in ID

Practice address

775 Pole Line Rd W
Suite 302
Twin Falls, ID 83301-5814

Phone

(208) 814-8600

Fax

(208) 814-8942

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Internal Medicine

Education

Duke University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Memorial HospitalGroup PAC ID 4183949522, 20 clinicians

St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Visions Home Health & Visions Home Care LLC Home health agency, Twin Falls, ID, CCN 137107
• Enhabit Home Health of Idaho Home health agency, Twin Falls, ID, CCN 137100
• Idaho Home Health & Hospice Home health agency, Twin Falls, ID, CCN 137014
• St Lukes Home Care and Hospice Home health agency, Meridian, ID, CCN 137028
• Auburn Crest Hospice Treasure Valley, LLC Hospice, Boise, ID, CCN 131570
• St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
• North Canyon Medical Center Hospital, Gooding, ID, CCN 131302
• Valor Health Hospital, Emmett, ID, CCN 131318
• St Luke'S Jerome Hospital, Jerome, ID, CCN 131310
• Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
• FHIR API: https://fhir-myrecord.cerner.com/r4/d61ab3e4-55bb-4859-99e6-22c413b48f2a/

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.

• Madison Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Rexburg, ID
  • NPI 1346643038
  Medicare reassignment Care Compare group NPD
• St Luke'S Clinic LLC

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1790718229

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Minidoka Memorial Hospital

  • Critical Access Hospital
  • Rupert, ID
  • NPI 1679553531
  Medicare reassignment NPD
• North Canyon Medical Center Inc.

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Medicare reassignment NPD
• Walter Knox Memorial Hospital

  • Critical Access Hospital
  • Emmett, ID
  • NPI 1063419018
  Medicare reassignment NPD
• Minidoka Memorial Hospital

  • Emergency Care Clinic/Center
  • Rupert, ID
  • NPI 1134333495

  Internal Medicine

  NPD
• North Canyon Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Gooding, ID
  • NPI 1275703241
  NPD
• North Canyon Medical Center, Inc.

  • Radiology Clinic/Center
  • Twin Falls, ID
  • NPI 1700641636
  NPD
• Valley Sleep Diagnostics

  • Physiological Laboratory
  • Star, ID
  • NPI 1902797822
  NPD
• Walter Knox Memorial Hospital

  • Specialist
  • Emmett, ID
  • NPI 1326206947
  NPD
• Walter Knox Memorial Hospital

  • Family Medicine Physician
  • Emmett, ID
  • NPI 1861284721
  NPD
• Sleepbetter LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Brigham City, UT
  • NPI 1528315884
  NPD

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

• Auburn Crest Hospice Treasure Valley, LLC

  • Community Based Hospice Care Agency
  • Boise, ID
  • NPI 1417253873
  Care Compare affiliation
• Guardian Home Care, Inc.

  • Home Health Agency
  • Twin Falls, ID
  • NPI 1801884374
  Care Compare affiliation
• LHCG Xvii, LLC

  • Home Health Agency
  • Twin Falls, ID
  • NPI 1356669675
  Care Compare affiliation
• Madison Co Memorial Hospital

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1073154266

  Hospital

  Care Compare affiliation
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570
  Care Compare affiliation
• North Canyon Medical Center Inc.

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Care Compare affiliation
• St Luke'S Magic Valley Regional Medical Center LTD

  • Critical Access Hospital
  • Jerome, ID
  • NPI 1366874877
  Care Compare affiliation
• St Luke'S Regional Medical Center

  • Home Health Agency
  • Meridian, ID
  • NPI 1306945985
  Care Compare affiliation
• St. Luke'S Magic Valley Regional Medical Center, LTD.

  • General Acute Care Hospital
  • Twin Falls, ID
  • NPI 1932154705
  Care Compare affiliation
• Visions Home Health & Visions Home Care, LLC

  • Home Health Agency
  • Twin Falls, ID
  • NPI 1235137761
  Care Compare affiliation
• Walter Knox Memorial Hospital

  • Critical Access Hospital
  • Emmett, ID
  • NPI 1063419018
  Care Compare affiliation
• Walter Knox Memorial Hospital

  • Specialist
  • Emmett, ID
  • NPI 1326206947

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1740221191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030587",
            "telephone_number": "208-814-7400",
            "fax_number": "208-814-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POLE LINE RD W",
            "address_2": "SUITE 302",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015814",
            "telephone_number": "208-814-8600",
            "fax_number": "208-814-8942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 8th St",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833501599",
            "country_code": "US",
            "telephone_number": "208-436-0481",
            "fax_number": "208-436-6038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTUIN",
        "first_name": "BRIAN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M7263",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "ID",
            "license": "M-7263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805179600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00029395",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.