Brett A McCurdy, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

8000 S Federal Way # Ms 1-706
Boise, ID 83716-9632

Phone

(208) 368-5656

Fax

(208) 368-5607

NPI assigned

Aug 6, 2013

Last updated

Aug 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premise Health of Colorado Medical, P.C.

  dba Micron Family Health Center

  • Primary Care Clinic/Center
  • Boise, ID
  • NPI 1598929903
  NPD (past)

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1801228457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 S FEDERAL WAY # MS 1-706",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837169632",
            "telephone_number": "208-368-5656",
            "fax_number": "208-368-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 S FEDERAL WAY # MS 1-706",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837169632",
            "telephone_number": "208-368-5656",
            "fax_number": "208-368-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURDY",
        "first_name": "BRETT",
        "middle_name": "A",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judit Ibolya McCullough, D.C.
• Mark Allen McCullough, LCSW
• Michael Warren McCullough, DC
• Nancy McCullough, OTR
• Sandra Cheryl McCullough, LCPC
• Allie D McCurry, MD
• Anne McCutcheon, LPC
• Amy Louise McDade, P.T., DPT
• Matthew Blaise McDaniel, LMSW
• Mildred L McDaniel, LCPC

• Registered Dietitian in Boise, ID
• Providers in Boise, ID by specialty
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.