| Brian Story Md Chartered | |
|
2235 E Gala St Meridian ID 83642-8026 | |
| (208) 877-3724 | |
| (208) 877-1682 |
| Full Name | Brian Story Md Chartered |
|---|---|
| Speciality | Internal Medicine |
| Location | 2235 E Gala St, Meridian, Idaho |
| Authorized Official Name and Position | Brian T Story (M.D.) |
| Authorized Official Contact | 2083431702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Story Md Chartered 425 W Bannock St Boise ID 83702-6035 Ph: (208) 343-1702 | Brian Story Md Chartered 2235 E Gala St Meridian ID 83642-8026 Ph: (208) 877-3724 |
| NPI Number | 1699150623 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 07/19/2019 |
| Medicare PECOS PAC ID | 1254632193 |
|---|---|
| Medicare Enrollment ID | O20151217000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699150623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | M12140 (Idaho) | Primary |
| Provider Name | Brian T Story |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851551089 PECOS PAC ID: 9830330935 Enrollment ID: I20130801000681 |
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