# BRENT BLUE MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EMERGACARE, Blue Medical Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356556518
- **Authorized official:** BRENT BLUE (OWNER)
- **Authorized official phone:** (307) 733-7835

## Contact information

- **Practice address:** 190 MUSTANG DRIVE, DRIGGS, ID 83422-0000
- **Practice address phone:** (307) 733-7835
- **Practice address fax:** (307) 201-4999
- **Mailing address:** PO BOX 25, WILSON, WY 83014-0025
- **Mailing address phone:** (307) 733-7835
- **Mailing address fax:** (307) 201-4999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 03/10/2026
