NPI Code Details Logo

NPI 1598707226

NPI 1598707226 : BRYON D HEMPHILL DO : PAYETTE, ID

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1598707226
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRYON D HEMPHILL DO
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/10/2006
-----------------------------------------------------
    Last Update Date     |    01/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1441 NE 10TH AVE 
-----------------------------------------------------
    City                 |    PAYETTE
-----------------------------------------------------
    State                |    ID
-----------------------------------------------------
    Zip                  |    83661-5420
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    208-642-9376
-----------------------------------------------------
    Fax                  |    208-642-9598
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1441 NE 10TH AVE 
-----------------------------------------------------
    City                 |    PAYETTE
-----------------------------------------------------
    State                |    ID
-----------------------------------------------------
    Zip                  |    83661-5420
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    208-642-9376
-----------------------------------------------------
    Fax                  |    208-642-9598
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    DO171781
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    0-244
-----------------------------------------------------
    License Number State |    ID
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.