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NPI 1730602756
● Active Type 2 · Organization
Subpart
Madison Co Memorial Hospital
Orthopaedic Surgery · Rexburg, ID · NPI 1730602756
·
Enumerated 2017 · 8 years on NPI
Madison Co Memorial Hospital is 1 of 239 orthopaedic surgery organizations in Idaho.
NPI age
8 years
Enumerated 2017-07-21
Primary specialty
Orthopaedic Surgery
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Gonzales
Chief Executive Officer
Last NPPES update
2026-03-05
Source: monthly bulk 2026-05
How this organization compares
Across 239 active orthopaedic surgery providers in Idaho.
NPI age
8 years
↓ 11 yr below median
Practice locations
3
2 secondary on file
NPI lifetime · 2017 → 2026
2017-07 Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
393 E 2nd N
Rexburg, ID 834401605
📞 2083565401 fax 2083563111
Mailing address
393 E 2nd N
Rexburg, ID 834401605
📞 2083565401 fax 2083563111
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
360 E Main St
Rexburg, ID 834402015
📞 2083569550
Location 3
477 Pleasant Country Ln
Rigby, ID 834425278
📞 2083596781
Authorized official
Rachel Gonzales, DM, RN, RODP
Chief Executive Officer
📞 2083596900
Individual providers at this organization
20 individual providers on file at this primary practice address.
Jeffrey Anderson , MS, CCC-SLP
Speech-Language Pathologist
NPI 1063684421
Rebecca Anderson , M.S.
Occupational Therapist
NPI 1861653909
Liam Barnard , LMSW
Social Worker
NPI 1427748656
David Batt , PA
Physician Assistant
NPI 1518212265
Brigham Bice , P.T.
Physical Therapist
NPI 1497203798
Kaylonnie Blumenberg , LMSW
Social Worker
NPI 1962114710
Britney Bochenek , PMHNP-BC
Nurse Practitioner
NPI 1568277598
Colby Brower , MD
Family Medicine
NPI 1689237752
Zachery Brunson , PA-C
Physician Assistant
NPI 1447296785
Rayo Budge , LPC
Counselor
NPI 1891425294
Brandon Buhler , LMFT
Marriage & Family Therapist
NPI 1881823979
Tiffany Burgess
Physical Therapist
NPI 1639518681
Sara Carter , SLP
Speech-Language Pathologist
NPI 1790046829
Cody Castellaw , DPT
Physical Therapist
NPI 1154728426
Susan Clark , MS, RD, LD, CDE
Dietitian, Registered
NPI 1124676663
Jeffery Clift , MOT
Occupational Therapist
NPI 1629300173
Jessica Cook
Occupational Therapist
NPI 1194173344
Bradley Cordero , DPT
Physical Therapist
NPI 1932494002
Matthew Daybell
Occupational Therapist
NPI 1982770277
Elizabeth Debroux , LPC
Counselor
NPI 1689334575
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...
taxonomy 207X00000X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Madison Memorial Orthopedics
Type code 3
recorded 2017-07-21
Madison Memorial Orthopedics
Type code 3
recorded 2017-07-19
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Plus 2 secondary practice locations.
Subpart of Madison Co Memorial Hospital .
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.