NPI age
7 years
Enumerated 2019-05-03
● Active Type 2 · Organization
Idaho Surgical, Llc
Idaho Surgical, Llc is 1 of 260 surgery organizations in Idaho.
Primary specialty
Surgery
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Heaton
Surgeon/owner
Last NPPES update
2019-06-14
Source: monthly bulk 2026-05
How this organization compares
Across 260 active surgery providers in Idaho.
NPI age
7 years
↓ 11 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-05Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
6195 E Hunt Ave
Nampa, ID 836878317
Mailing address
1662 S Lake Crest Way
Eagle, ID 836167142
Additional practice locations
1 secondary location on file with NPPES.
Location 2
222 N 2nd St Ste 115
Boise, ID 837026129
Authorized official
Bren Heaton, MD
Surgeon/owner
📞 2088549828
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) | 1629244355 |
Practice context
Multi-site organization. 1 additional practice location on file.
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- 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.