Family Medical Center PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICAL CENTER PLLC

Practice address

360 E Liberty St
Weiser, ID 83672-2261

Phone

(208) 414-1124

Fax

(208) 414-0947

NPI assigned

Jun 11, 2006

Last updated

Feb 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan L Drake, D.O.NPI 1144264011

Title

Partner

Phone

(208) 414-1124

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan L Drake, D.O.

  • Family Medicine Physician
  • Weiser, ID
  • NPI 1144264011
  NPD (past) Authorized official
• Bryon D Hemphill, DO

  • Family Medicine Physician
  • Payette, ID
  • NPI 1598707226
  NPD

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1972545556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E LIBERTY ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722261",
            "telephone_number": "208-414-1124",
            "fax_number": "208-414-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E LIBERTY ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722261",
            "telephone_number": "208-414-1124",
            "fax_number": "208-414-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "208-414-1124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "1369418",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8006347400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "R135455",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan L Drake, D.O.
• Shawna Eddy Eddy Kissell, PSYCHOLOGIST, LCPC
• Elemental Wellness & Chiropractic (Ewc)
• Matthew Kai Elliott, D.O.
• Ewc Weiser PLLC (Elemental Wellness and Chiropractic)
• Karla Fischer
• Holly Carol Freeman, CMT
• Stephanie Marie Gallegos, LCSW
• Anika Garcia
• Alicia Gonzalez

• Family Medicine Physician in Weiser, ID
• Providers in Weiser, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.