NPI age
7 years
Enumerated 2019-01-28
● Active Type 2 · Organization
Burn And Reconstructive Centers Of Idaho, Pllc
Burn And Reconstructive Centers Of Idaho, Pllc is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Practice locations
5
4 secondary on file
Status
Active
No deactivations on record
Authorized official
Fagan
Owner/md
Last NPPES update
2022-10-11
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
7 years
↓ 11 yr below median
Practice locations
5
4 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-01Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
3100 Channing Way
Idaho Falls, ID 834047533
Mailing address
Po Box 12358
Augusta, GA 309142358
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
7700 Floyd Curl Dr
San Antonio, TX 782293902
Location 3
2325 Coronado St
Idaho Falls, ID 834047407
Location 4
3200 Channing Way Ste 206a&b
Idaho Falls, ID 834047546
Location 5
3901 W 15th St
Plano, TX 750757738
Authorized official
Shawn Fagan
Owner/md
📞 7068639595
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Mary Achim-Thibodaux, MD Student in an Organized Health Care Education/Training Program NPI 1497457196
- Danial Ali Student in an Organized Health Care Education/Training Program NPI 1902744196
- Tausha Allen Internal Medicine NPI 1558822379
- Anita Alvarez, RN,BSN,PCCN,SANE-A Registered Nurse NPI 1821932567
- Braden Amann, DO Student in an Organized Health Care Education/Training Program NPI 1720936057
- Joseph Anderson, DO Emergency Medicine NPI 1326025396
- Taylor Anderson Student in an Organized Health Care Education/Training Program NPI 1962104133
- Bryce Arnold, D.O. Hospitalist NPI 1225564925
- Dawnett Arrowood, RD,LD Dietitian, Registered NPI 1497029102
- Shannielle Baird, NP-C Nurse Practitioner NPI 1376068759
- Ella Baker, MD Internal Medicine NPI 1396475380
- Eric Baler Physician Assistant NPI 1851935662
- Christine Barber Nurse Practitioner NPI 1033754395
- Murray Barrus, DO Student in an Organized Health Care Education/Training Program NPI 1588465967
- Jed Bartschi, PA-C Physician Assistant NPI 1083793699
- Vincen Bateman, CRNA Nurse Anesthetist, Certified Registered NPI 1235168774
- David Behrmann, MD Radiology NPI 1609037340
- Richard Bentley, M.D. Radiology NPI 1770781932
- Michael Biddulph, MD Radiology NPI 1760561310
- Dirk Bigler, D.O. Radiology NPI 1457304776
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice context
Multi-provider organization. 20 individual providers on file at this primary address. Plus 4 secondary practice locations.
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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.
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