NPI age
20 years
Enumerated 2005-08-29
● Active
Type 1 · Individual
DR. Walter Kurt Birkenhagen, M.D.
Birkenhagen is 1 of 14 surgery providers in Pocatello and 1 of 260 in Idaho.
Primary specialty
Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-03-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 260 active surgery providers in Idaho.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Practice location
500 S 11th Ave
Pocatello, ID 832014835
Mailing address
500 S 11th Ave
Pocatello, ID 832014835
Specialties
-
Surgery PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002370100 |
Practice context
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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