Organization
MOUNTAIN VIEW FAMILY MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY MARK BURTON M.D. (PRESIDENT)
(208) 232-1132
Entity
Organization
Contact information
Practice address
2006 BIRDIE THOMPSON DR, POCATELLO, ID 83201-2768
(208) 232-1132
(208) 232-1134
Mailing address
2006 BIRDIE THOMPSON DR, POCATELLO, ID 83201-2768
(208) 232-1132
(208) 232-1134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1373873
MEDICARE
ID
05
—
86428200
—
ID
Enumeration date
11/15/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us