Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Bryon Spackman, MD

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1386887032

Dr. Michael Bryon Spackman, MD is a Physical Medicine and Rehabilitation in Meridian, Idaho. Qualified in 2006, 20 years ago. Practices with Spine Institute of Idaho PA, a 5-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
20
Licensed in
ID
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

360 E Montvue Dr Ste 100
Meridian, ID 83642
Phone: (208) 855-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence M11335 (ID)

Record details

NPI number1386887032
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 10, 2009
Last updated in NPPESJuly 11, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesPAIN MANAGEMENT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Spine Institute Of Idaho Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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