Provider Demographics
NPI:1265541494
Name:BRUMFIELD, TROY R (DO)
Entity type:Individual
Prefix:DR
First Name:TROY
Middle Name:R
Last Name:BRUMFIELD
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2725 CHANNING WAY
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-7510
Mailing Address - Country:US
Mailing Address - Phone:208-525-8448
Mailing Address - Fax:208-525-8118
Practice Address - Street 1:2725 CHANNING WAY
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-7510
Practice Address - Country:US
Practice Address - Phone:208-525-8448
Practice Address - Fax:208-525-8118
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2009-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IDO-268207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDH18681Medicare UPIN