NPI 1053631192 · live from the CMS NPI Registry
Matthew Brandon Beck, MD
Orthopaedic Surgery in Nampa, ID. National Provider Identifier 1053631192, active.
NPI record
| NPI | 1053631192 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 9850 W St Lukes Dr Ste 215, Nampa, ID 83687 |
| Practice phone | 208-706-2663 |
| Mailing address | 190 E Bannock St, Boise, ID 83712 |
| Enumerated | June 10, 2010 |
| Last updated | December 30, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 47689 (KY) |
| Orthopaedic Surgery | 207X00000X | 11015741A (IN) |
| Orthopaedic Surgery | 207X00000X | 35125492 (OH) |
| Orthopaedic Surgery primary | 207X00000X | 3571836 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.