Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blackfoot Medical Clinic Surgeons

Organization Surgery Physician · NPI 1740580794

Blackfoot Medical Clinic Surgeons provides Surgery Physician services in Blackfoot, Idaho. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

1441 Parkway Dr
Blackfoot, ID 83221-1667 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 785-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1740580794
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlackfoot Medical Clinic Inc
Authorized official Kerry Casperson — Administrator · (208) 785-2600
NPI enumeratedOctober 25, 2010
Last updated in NPPESOctober 25, 2010
Mailing address1441 Parkway Dr, Blackfoot, ID 83221-1667

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