DR. BRAD Q STARLEY (NPI# 1669443909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669443909 |
| Entity Type | Individual |
| Full Name | DR. BRAD Q STARLEY |
| Credential | MD |
| Practice Address |
775 Pole Line Rd W Suite 203 Twin Falls ID 83301-5814 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2088148300 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2015-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101239001 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
M-12760 | ID | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
12112 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1669443909 | 05 |
| Street Address |
775 POLE LINE RD W SUITE 203 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900320 | Brandy Ann Jones | Nurse Practitioner | 775 Pole Line Rd W, Twin Falls, ID 83301-5814 | 2020-04-13 |
| 1780115048 | Casie Spearing | Nurse Practitioner | 775 Pole Line Rd W, #112, Twin Falls, ID 83301-5814 | 2017-03-27 |
| 1376084673 | Marci Ahlquist | Nurse Practitioner | 775 Pole Line Rd W, Suite 203, Twin Falls, ID 83301-5814 | 2017-03-20 |
| 1457704249 | Briana O'donnell | Nurse Practitioner | 775 Pole Line Rd W, Suite 112, Twin Falls, ID 83301-5814 | 2016-07-18 |
| 1689020422 | St. Luke's Magic Valley Medical Center | General Acute Care Hospital | 775 Pole Line Rd W, Twin Falls, ID 83301-5814 | 2016-05-11 |
| 1578919932 | Jennifer Renee Rosa | Occupational Therapist | 775 Pole Line Rd W, Twin Falls, ID 83301-5814 | 2016-05-04 |
| 1346635463 | Tina M. Peer | Nurse Practitioner | 775 Pole Line Rd W, Suite 302, Twin Falls, ID 83301-5814 | 2015-04-06 |
| 1942601232 | Brenda O'neil | Physical Therapist | 775 Pole Line Rd W, Suite 307, Twin Falls, ID 83301-5814 | 2014-09-06 |
| 1891114666 | Jonathan Randolph King | Internal Medicine | 775 Pole Line Rd W, Suite 312, Twin Falls, ID 83301-5814 | 2014-04-09 |
| 1649691197 | Carmen Marie Sidlaruk | Speech-Language Pathologist | 775 Pole Line Rd W, Suite 202, Twin Falls, ID 83301-5814 | 2013-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598843039 | Judith Erika Csanky | Internal Medicine | 1411 Falls Ave E Ste 1151, Twin Falls, ID 83301-3455 | 2006-11-01 |
| 1881100097 | Northwest Gastroenterology, Pllc | Internal Medicine | 526 Shoup Ave W, Twin Falls, ID 83301-6050 | 2017-12-26 |
| 1821364332 | Digestive Health Services, Ltd | Internal Medicine | 1411 Falls Ave E Ste 1151, Twin Falls, ID 83301-3455 | 2012-03-29 |
| 1952324600 | Brian Scott Berk | Internal Medicine | 775 Pole Line Rd W, Ste. #203, Twin Falls, ID 83301-5814 | 2006-07-25 |
| 1508894262 | Robert M Ward Jr. | Internal Medicine | 775 Pole Line Rd W, Suite 203, Twin Falls, ID 83301-5814 | 2006-06-29 |
| 1336183813 | Kent J Smith | Internal Medicine | 775 Pole Line Rd W, Suite 203, Twin Falls, ID 83301-5814 | 2006-06-15 |
| 1497795215 | Ted Rea | Internal Medicine | 1411 Falls Ave E, Ste 1151, Twin Falls, ID 83301-3455 | 2006-06-08 |
| 1144267022 | Blue Lakes Gastroenterology, Pllc | Internal Medicine | 775 Pole Line Rd W, Suite 203, Twin Falls, ID 83301-5814 | 2006-06-01 |
| 1548222516 | Seth N Wheeler | Internal Medicine | 775 Pole Line Rd W, Suite 203, Twin Falls, ID 83301-5814 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649516212 | Theodore Weldon Bohlman | Internal Medicine | 8820 Stewart Rd, Meridian, ID 83642-7226 | 2012-12-29 |
| 1679890057 | Walter W Hair | Internal Medicine | 1402 N Promontory Rd, Boise, ID 83702-3040 | 2010-04-26 |
| 1659492809 | Bruce R Croffy | Internal Medicine | 3000 E Pine Ave, Meridian, ID 83642-5995 | 2007-04-03 |
| 1235211582 | George Christopher Kutteruf | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2476 | 2006-10-19 |
| 1164515276 | Healing Arts Day Surgery LLC | Internal Medicine | 222 W Iowa Ave Ste B, Suite B, Nampa, ID 83686-6814 | 2006-10-02 |
| 1194817023 | Treasure Valley Gastroenterology Specialists Inc | Internal Medicine | 222 W Iowa Ave, Suite A, Nampa, ID 83686-6813 | 2006-09-28 |
| 1740386432 | John Carl Morgenstern | Internal Medicine | 1630 23rd Ave Ste 701, Lewiston, ID 83501-6345 | 2006-09-16 |
| 1164525853 | Raquel Croitoru | Internal Medicine | 222 W Iowa Ave Ste A, Nampa, ID 83686-6814 | 2006-09-07 |
| 1295754265 | Southeast Idaho Gastroenterology,pllc | Internal Medicine | 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 | 2006-07-19 |
| 1184619165 | Paul H Baehr | Internal Medicine | 425 W Bannock St, Boise, ID 83702-6035 | 2005-09-15 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.