Individual
DR. SAMUEL C. BIELIGK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501
(208) 743-7612
(208) 746-4802
Mailing address
415 6TH STREET, ATTN: PHYSICIAN SERVICES, LEWISTON, ID 83501-2434
(208) 750-7462
(208) 750-7467
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D57659
MD
208600000X
Surgery Physician
Primary
K4862
TX
208600000X
Surgery Physician
MC-2661
ID
2086X0206X
Surgical Oncology Physician
2008010215
MO
261QM1300X
Multi-Specialty Clinic/Center
K4862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200135770A
—
OK
05
—
205492804
—
MO
05
—
406342201
—
TX
01
—
MC-2661
IDAHO LICENSE
ID
01
—
P00785793
RAIL ROAD MEDICARE
MO
Enumeration date
07/27/2006
Last updated
02/20/2026
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