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

Mountain West Spine LLC

Organization Orthopaedic Surgery Physician · NPI 1982462008

Mountain West Spine LLC is an Orthopaedic Surgery Physician in Meridian, Idaho. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2960 E St Lukes St Ste 200
Meridian, ID 83642-3506
Phone: (208) 992-5212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1982462008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Bradley — Owner · (208) 992-5212
NPI enumeratedMarch 12, 2024
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address2960 E St Lukes St, Suite 200, Meridian, ID 83642

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