Individual provider Active NPI

Brian Newell, M.D.

  • Surgery Physician
  • Moscow, ID
National Provider Identifier
1932562980
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M-15782 Issued in ID
Practice address
2400 W a St Ste G
Moscow, ID 83843-4902
Phone
(208) 883-1177
Fax
(208) 892-0170
NPI assigned
Mar 29, 2016
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X MT213453 PA
Surgery Physician 208600000X M-15782 ID Primary

Addresses

Primary practice location

2400 W a St Ste G
Moscow, ID 83843-4902

Mailing address

PO Box 8007
Moscow, ID 83843-0507
Phone (208) 882-4511

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210901002059 ID Practitioner - General Surgery 2860745908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gritman Medical Center IncGroup PAC ID 4981984390, 19 clinicians
Gritman Medical Center IncGroup PAC ID 8729070164, 15 clinicians

Practice addresses (Care Compare)

2400 W a St
Suite G
Moscow, ID 83843-4902
Phone (208) 883-1177

700 S Main St
Moscow, ID 83843-3056
Phone (208) 882-4511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-15782IDMDSurgery Physician
MT213453PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gritman Medical Center Inc CurrentSince Sep 1, 2021 Accepting new patients
Gritman Medical Center Inc Current Accepting new patients
Gritman Medical Center Inc CurrentSince Sep 1, 2021 Accepting new patients
Gritman Medical Center Inc CurrentSince Sep 1, 2021 Accepting new patients
Gritman Medical Center Inc. CurrentSince Sep 1, 2021 Accepting new patients
Gritman Medical Center Inc Surgery Past Accepting new patients
Gritman Medical Center, Inc. Past Accepting new patients

Locations

2400 W A St
#G
Moscow, ID 83843
Phone (208) 813-7519

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

719 S Main St
Moscow, ID 83843
Phone (208) 848-8300

Interoperability endpoints

  • Direct secure messaging: bnewell689741@direct.ochin.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1932562980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430507",
            "telephone_number": "208-882-4511",
            "fax_number": "208-883-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W A ST STE G",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434902",
            "telephone_number": "208-883-1177",
            "fax_number": "208-892-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT213453",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M-15782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.