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Dr. Brent H. Greenwald, MD
Neurological Surgery Physician in Idaho Falls, Idaho
NPI 1134155666

Brent H. Greenwald is a Neurological Surgery Physician based in Idaho Falls, ID. Brent H. Greenwald practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Brent H. Greenwald is 1134155666 and holds a License No. M-6947 (Idaho).

The current practice location address for Brent H. Greenwald is 3155 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-535-4800 and via fax at 208-535-4807.

Location: 3155 Channing Way, Idaho Falls, ID, 83404-7546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134155666
Provider Name
Brent H. Greenwald
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3155 Channing Way, Idaho Falls, ID, 83404-7546
Phone Number
208-535-4800
Fax Number
208-535-4807
Provider Enumeration Date
06/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010001551 01 ID BLUE SHIELD
002786100 05 ID
82-0529781 01 ID TAX ID NO
76836 01 ID BLUE CROSS
8M987 01 ID BLUE CROSS PRACTICE
institution
Provider Business Practice Location Address Details
Address
3155 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7546
Phone Number
208-535-4800
Fax Number
208-535-4807
person
Provider Business Mailing Address Details
Address
3155 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7546
Phone Number
208-535-4800
Fax Number
208-535-4807
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
M-6947 (Idaho)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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