NPI age
19 years
Enumerated 2006-08-20
● Active
Type 1 · Individual
DR. Philip Bruce Meadow, D.O. F.A.C.R.
Meadow is 1 of 6 internal medicine providers in Coeur D Alene and 1 of 38 in Idaho.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-02-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 38 active internal medicine providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 60% — 39% of peers are multi-state
Subspecialties
0
44% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
700 W Ironwood Dr Ste 275w
Coeur D Alene, ID 838144400
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Specialties
-
Internal Medicine PrimaryAn internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 660003950 | RAILROAD MEDICARE |
| 01 (GA) | 66BBGB | MEDICARE ID |
| 01 (GA) | 1437288255 | MEDICARE GROUP NPI |
| 05 (GA) | 000750373C | |
| 01 (GA) | GRP4761 | MEDICARE GROUP PTAN |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 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 →
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