P Praxis·MD
● Active Type 1 · Individual

DR. Brodie Steven Atwood, D.M.D

Dentist·Idaho Falls, ID· NPI 1538399316 · Enumerated 2009 · 16 years on NPI
Atwood is 1 of 38 dentist providers in Idaho Falls and 1 of 591 in Idaho.
NPI age
16 years
Enumerated 2009-07-15
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-03-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
16 years
≈ at median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 17% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Practice location
1759 W Broadway St
Idaho Falls, ID 834023045
📞 2083130520
Mailing address
1759 W Broadway St
Idaho Falls, ID 834023045
📞 2083130520

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D4289 taxonomy 122300000X
  • 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. 1 other active provider shares 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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