P Praxis·MD
● Active Type 2 · Organization

Southeastern Idaho Surgical Associates, Pllc

Surgery·Idaho Falls, ID· NPI 1164372777 · Enumerated 2026 · 0 years on NPI
Southeastern Idaho Surgical Associates, Pllc is 1 of 260 surgery organizations in Idaho.
NPI age
— years
Enumerated 2026-02-02
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McBride
Owner
Last NPPES update
2026-04-03
Source: monthly bulk 2026-05

How this organization compares

Across 260 active surgery providers in Idaho.

NPI age
0 years
↓ 18 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2026 → 2026

2026-02Enumerated in NPPES
2026 2026

Where they practice

Primary practice location
2805 Valencia Dr
Idaho Falls, ID 834047597
📞 2085259400fax 2085256151
Mailing address
2805 Valencia Dr
Idaho Falls, ID 834047597
📞 2085259400fax 2085256151

Authorized official

Brett McBride, DO
Owner
📞 2085259400

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    taxonomy 208600000X

Practice context

Multi-provider organization. 5 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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