P Praxis·MD
● Active Type 1 · Individual

DR. Bryan Vandyke, D.O.

Orthopaedic Surgery·Idaho Falls, ID· NPI 1285990374 · Enumerated 2012 · 14 years on NPI
Vandyke is 1 of 1 orthopaedic surgery providers in Idaho Falls and 1 of 12 in Idaho.
NPI age
14 years
Enumerated 2012-04-03
Primary specialty
Orthopaedic Surgery
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-01-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 12 active orthopaedic surgery providers in Idaho.

NPI age
14 years
≈ at median (14 yr)
State licenses
1 state
50% of peers hold multiple states
Subspecialties
1
In the 66% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
2321 Coronado St
Idaho Falls, ID 834047407
📞 2082271100
Mailing address
3611 Boulder Creek Ln
Idaho Falls, ID 834065114
📞 9194751161

Specialties

  • Orthopaedic Surgery Primary
    Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and...
    ID license #O-1166 taxonomy 207XX0004X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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