Dr. Bryan Vandyke
Foot and Ankle Orthopaedic Surgeon
2321 Coronado St
Idaho Falls
, Idaho 83404-7407
Dr. Bryan Vandyke
Foot and Ankle Orthopaedic Surgeon
2321 Coronado St
Idaho Falls
, Idaho 83404-7407
(919) 475-1161
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bryan Vandyke
- 3611 Boulder Creek Ln
- Idaho Falls, ID
- Zip : 83406-5114
- Phone : (919) 475-1161
Second Address
- Dr. Bryan Vandyke
- 2321 Coronado St
- Idaho Falls, ID
- Zip : 83404-7407
- Phone : (208) 227-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | O-1166 | ID |
National Provider Identifier
| NPI | 1285990374 |
|---|---|
| Provider Name | Dr. Bryan Vandyke |
| First Address | Idaho Falls, ID 83406-5114 |
| Second Address | Idaho Falls, ID 83404-7407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2012 |
| Last Update Date | 23/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.