NPI age
5 years
Enumerated 2021-04-05
● Active
Type 1 · Individual
Katelyn Brigham
Brigham is 1 of 12 pediatrics providers in Eagle and 1 of 252 in Idaho.
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 252 active pediatrics providers in Idaho.
NPI age
5 years
↓ 13 yr below median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-04Enumerated in NPPES
2021
2026
Where they practice
Practice location
450 W State St
Eagle, ID 836167057
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
1 secondary location on file with NPPES.
Location 2
705 Riley Hospital Dr., Ri-5837
Indianapolis, IN 462025109
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Part of a multi-provider practice. 8 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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