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

Dr. Bren A Heaton, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629244355

Dr. Bren A Heaton, MD is a General Surgery in Boise, Idaho. Qualified in 2006, 20 years ago. Practices with St Joseph Hospital LLC, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
20
Licensed in
ID
In the registry since
2008
Specialties on file
2
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

6140 W Curtisian Ave Ste 100
Boise, ID 83704-0109
Phone: (208) 367-7090
Fax: (208) 367-7092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 6th St Ste 2, Lewiston, ID 83501-2434 — (208) 743-7612

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M-11687 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629244355
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2008
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address3340 E Goldstone Way, Meridian, ID 83642-1026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice St Joseph Hospital Llc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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