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

Dr. Brad L Wynn, DO

Individual provider Family Medicine Physician · NPI 1902033608

Dr. Brad L Wynn, DO is a Family Practice in Rupert, Idaho. Qualified in 2008, 18 years ago. Practices with Minidoka Memorial Hospital, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
18
Licensed in
ID
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1308 8th St Ste 1
Rupert, ID 83350-1535
Phone: (208) 436-4322
Fax: (208) 436-1312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1224 8th Street, Rupert, ID 83350-1527 — (208) 434-4236

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-0676 (ID)

Record details

NPI number1902033608
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 19, 2009
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address1224 8th Street, Rupert, ID 83350-1527

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Minidoka Memorial Hospital — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Rupert