NPI age
4 years
Enumerated 2022-02-09
● Active Type 2 · Organization
Blackrock Orthopedic Specialists Llc
Blackrock Orthopedic Specialists Llc is 1 of 239 orthopaedic surgery organizations in Idaho.
Primary specialty
Orthopaedic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Winegar
Owner
Last NPPES update
2022-02-18
Source: monthly bulk 2026-05
How this organization compares
Across 239 active orthopaedic surgery providers in Idaho.
NPI age
4 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-02Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
2960 E. St. Lukes St., Suite 200
Meridian, ID 83642
Mailing address
2960 E. St. Lukes St., Suite 200
Meridian, ID 83642
Authorized official
Corbett Dee Winegar, MD
Owner
📞 8019288290
Individual providers at this organization
1 individual provider on file at this primary practice address.
- William Bradley, M.D. Orthopaedic Surgery NPI 1245273382
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.