Active NPI
Gregory E Biddulph Orthopedics
- Orthopaedic Surgery Physician
- Idaho Falls, ID
National Provider Identifier
1760520951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- GREGORY E BIDDULPH ORTHOPEDICS
- Practice address
- 3300 Washington Pkwy
Idaho Falls, ID 83404-7592 - Phone
- (208) 522-6662
- Fax
- (208) 522-0880
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory E Biddulph, M.D.
- Title
- President
- Phone
- (208) 522-6662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ID | Primary |
Addresses
Primary practice location
3300 Washington Pkwy
Idaho Falls, ID 83404-7592
Mailing address
3300 Washington Pkwy
Idaho Falls, ID 83404-7592
Phone (208) 522-6662
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77075 | Other | ID | BLUE CROSS OF IDAHO |
| Z4950 | Other | UT | BUREAU OF MEDICAID |
| 286007 | Other | OREGON MEDICAID | |
| 20036025 | Other | RAIL ROAD MEDICARE | |
| 000010163002 | Other | ID | BLUE SHIELD OF IDAHO |
| 29686 | Other | BXI | |
| 8157532 | Other | CA | OUT OF STATE CLAIMS DEPAR |
| 0027971 | Medicaid | ID | |
| 0000100000552 | Other | ID | MEDIVANTAGE BS |
| 196973 | Other | ALTIUS | |
| 613028 | Other | VA | BX BS OF VIRIGINIA |
| 7608951 | Other | NC | EDS OF NORTH CAROLINA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202688000000",
"number": "1760520951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 WASHINGTON PKWY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047592",
"telephone_number": "208-522-6662",
"fax_number": "208-522-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 WASHINGTON PKWY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047592",
"telephone_number": "208-522-6662",
"fax_number": "208-522-0880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY E BIDDULPH ORTHOPEDICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2008-02-11",
"status": "A",
"authorized_official_last_name": "BIDDULPH",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-522-6662",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "77075",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF MEDICAID",
"identifier": "Z4950",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON MEDICAID",
"identifier": "286007",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "20036025",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IDAHO",
"identifier": "000010163002",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXI",
"identifier": "29686",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUT OF STATE CLAIMS DEPAR",
"identifier": "8157532",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0027971",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIVANTAGE BS",
"identifier": "0000100000552",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "196973",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BX BS OF VIRIGINIA",
"identifier": "613028",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDS OF NORTH CAROLINA",
"identifier": "7608951",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.