Dr. Gregory Edwin Biddulph
Adult Reconstructive Orthopaedic Surgeon
3300 Washington Pkwy
Idaho Falls
, Idaho 83404-7592
Dr. Gregory Edwin Biddulph
Adult Reconstructive Orthopaedic Surgeon
3300 Washington Pkwy
Idaho Falls
, Idaho 83404-7592
(208) 522-0880
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gregory Edwin Biddulph
- 3300 Washington Pkwy
- Idaho Falls, ID
- Zip : 83404-7592
- Fax : (208) 522-0880
- Phone : (208) 522-6662
Second Address
- Dr. Gregory Edwin Biddulph
- 3300 Washington Pkwy
- Idaho Falls, ID
- Zip : 83404-7592
- Fax : (208) 522-0880
- Phone : (208) 522-6662
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | M6968 | ID |
National Provider Identifier
| NPI | 1306874763 |
|---|---|
| Provider Name | Dr. Gregory Edwin Biddulph |
| First Address | Idaho Falls, ID 83404-7592 |
| Second Address | Idaho Falls, ID 83404-7592 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2006 |
| Last Update Date | 10/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000010000552 | BS (01) | ID |
| 00001000552 | MEDIVANTAGE BS (01) | ID |
| 0027971 | (05) | ID |
| 113909600 | (05) | WY |
| 185543500 | US DEPARTMENT OF LABOR (01) | KY |
| 20036025 | RAILROAD MEDICARE (01) | TN |
| 286007 | (05) | OR |
| 29868 | BXI (01) | ID |
| 613028 | BX BS VA (01) | VA |
| 7608951 | (05) | NC |
| 8157532 | OUT OF STATE MEDICAL (01) | CA |
| G26482 | (02) | ID |
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.