Individual
BRIAN W FORTUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
775 POLE LINE RD W, SUITE 302, TWIN FALLS, ID 83301-5814
(208) 814-8600
(208) 814-8942
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7263
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805179600
—
ID
01
—
P00029395
RR MEDICARE
ID
Enumeration date
06/09/2006
Last updated
02/05/2025
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