P Praxis·MD
● Active Type 2 · Organization

East Idaho Orthopaedics Pllc

Orthopaedic Surgery·Idaho Falls, ID· NPI 1295189918 · Enumerated 2016 · 10 years on NPI
East Idaho Orthopaedics Pllc is 1 of 239 orthopaedic surgery organizations in Idaho.
NPI age
10 years
Enumerated 2016-04-19
Primary specialty
Orthopaedic Surgery
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bergeson
Practice Manager
Last NPPES update
2016-04-19
Source: monthly bulk 2026-05

How this organization compares

Across 239 active orthopaedic surgery providers in Idaho.

NPI age
10 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 45% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
3405 Merlin Dr
Idaho Falls, ID 834047430
📞 2085223355fax 2085226019
Mailing address
3405 Merlin Dr
Idaho Falls, ID 834047430
📞 2085223355fax 2085226019

Authorized official

Alexis L Bergeson
Practice Manager
📞 2089324133

Specialties

  • Orthopaedic Surgery Primary
    An 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...
    ID license #M-9781ID license #M-10197 taxonomy 207X00000X
  • Orthopaedic Surgery
    An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including...
    ID license #M-9781 taxonomy 207XX0005X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Liljenquist & Redd Orthopedic Surgery
    Type code 3 recorded 2016-04-19

Practice context

Single-site organization. Only one practice location on file.

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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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