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NPI Code Detail

MEDICARE: DR. BRYON D HEMPHILL DO

MEDICARE: DR. BRYON D HEMPHILL DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDO171781OR
2207Q00000XFamily Medicine Physician0-244ID

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1135456OTHERORMEDICARE PART B
31302148OTHERIDMEDICARE PART B

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598707226
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRYON D HEMPHILL DO
Provider Business Mailing Address
First Line : 1441 NE 10TH AVE
Second Line :
City : PAYETTE
State : ID
Zip : 83661-5420
Country : US
Telephone Number : 208-642-9376
Fax Number : 208-642-9598
Provider Business Practice Location Address
First Line : 1441 NE 10TH AVE
Second Line :
City : PAYETTE
State : ID
Zip : 83661-5420
Country : US
Telephone Number : 208-642-9376
Fax Number : 208-642-9598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 01/06/2025

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Directions to “ DR. BRYON D HEMPHILL DO” Practice Location

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