Dr Thornton E Bryan Iii, MD | |
701 E Parkcenter Blvd, Boise, ID 83706-6528 | |
(208) 381-6500 | |
(208) 381-6505 |
Full Name | Dr Thornton E Bryan Iii |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 32 Years |
Location | 701 E Parkcenter Blvd, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003808924 | NPI | - | NPPES |
3804377 | Medicaid | TN | |
05829798 | Medicaid | MS | |
003038788 | Other | TN | BCBS OF TN |
2158082 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD0000027731 (Tennessee) | Secondary |
207Q00000X | Family Medicine | MD.204465 (Louisiana) | Secondary |
207Q00000X | Family Medicine | M12455 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Home Care | Meridian, ID | Home health agency |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Dr Thornton E Bryan Iii, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Dr Thornton E Bryan Iii, MD 701 E Parkcenter Blvd, Boise, ID 83706-6528 Ph: (208) 381-6500 |
Dr. Maureen A Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-302-5480 | |
Jessica A Evert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350 | |
Tracy Adams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 | |
Sarah A Hershman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Summer E Szumski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Irvin E Sackman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 E Boise Ave, Boise, ID 83706 Phone: 208-345-4066 Fax: 208-345-4196 |