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Individual provider Active NPI

Neil K Burraston, DO

  • Family Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1760131841
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O1960 Issued in ID
Practice address
2065 E 17TH St Ste a
Idaho Falls, ID 83404-8042
Phone
(208) 522-3301
Fax
(208) 522-3414
NPI assigned
Mar 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X O-1960 ID
Family Medicine Physician 207Q00000X O1960 ID Primary

Addresses

Primary practice location

2065 E 17TH St Ste a
Idaho Falls, ID 83404-8042

Mailing address

2065 E 17TH St Ste a
Idaho Falls, ID 83404-8042
Phone (208) 522-3301

Other practice location 1

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 227-2840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719002663 ID Practitioner - General PracticePractitioner - Family Practice 2466833322 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Council of Idaho, Inc.Group PAC ID 6204877467, 18 clinicians
Utah Regional Hospitalists LLCGroup PAC ID 4789807165, 119 clinicians

Practice addresses (Care Compare)

2100 Alan St
Idaho Falls, ID 83404-5801
Phone (208) 528-7655

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O1960IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC CurrentSince Jul 20, 2025 Accepting new patients
Community Council of Idaho, Inc. Family Medicine CurrentSince Jun 16, 2024 Accepting new patients
Community Council of Idaho, Inc. Family Medicine CurrentSince Jun 16, 2024 Accepting new patients
Community Council of Idaho, Inc Family Medicine Current Accepting new patients

Locations

1491 Parkway Dr
Blackfoot, ID 83221
Phone (208) 435-2379

2100 Alan St
Idaho Falls, ID 83404
Phone (208) 470-7979

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

4002 E 397 N
Ste 3
Rigby, ID 83442
Phone (208) 228-2200

Interoperability endpoints

  • Direct secure messaging: neil.burraston.1@16437.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1760131841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-522-3301",
            "fax_number": "208-522-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-522-3301",
            "fax_number": "208-522-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Channing Way",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047533",
            "country_code": "US",
            "telephone_number": "208-227-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRASTON",
        "first_name": "NEIL",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ID",
            "license": "O-1960",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O1960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.