Brent Blue MD
Brent Blue MD is a healthcare organization registered as Family Medicine Physician in Driggs, ID, holding Type 2 (organization) NPI 1356556518 since 2007. The authorized official on file is Brent Blue, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356556518 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brent Blue MD |
| Other name | <Unavail> |
| Practice address | 190 MUSTANG DRIVE, Driggs, ID, 83422 |
| Phone | 3077337835 |
| Fax | 3072014999 |
| Enumeration date | 2007-05-11 |
| Last updated in NPPES | 2026-03-10 |
Authorized official
| Name | Brent Blue |
|---|---|
| Title | Owner |
| Phone | 3077337835 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Brent Blue MD NPI: 1356556518 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 190 MUSTANG DRIVE, Driggs, ID, 83422
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063467538 | Brent Blue | Individual | Family Medicine Physician | Driggs, ID |
Verify this record
Cross-check NPI 1356556518 against the authoritative CMS record: view Brent Blue MD on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Brent Blue MD located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-10.