NPI age
16 years
Enumerated 2010-06-16
● Active
Type 1 · Individual
Dr. Brad Leon Hyatt, DO
Hyatt is 1 of 56 family medicine providers in Twin Falls and 1 of 1,717 in Idaho.
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-12-29
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1717 active family medicine providers in Idaho.
NPI age
16 years
≈ at median (17 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2010 → 2014
2010-06Enumerated in NPPES
2010
2014
Where they practice
Practice location
2550 Addison Ave E, Suite F
Twin Falls, ID 833016749
Mailing address
Po Box 587
Twin Falls, ID 833030587
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1932420783 |
Medicare directory context
Medicare specialties
Family Practice
Largest Medicare group
310 members
Largest listed enrollment group
Facility affiliations reported by CMS
- St Lukes Clinic Llc
Practice context
Part of a multi-provider practice. 28 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 →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.