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

Dr. Dwayne Maxwell Hansen Jr., DO

Individual provider Surgery Physician · NPI 1871013938

Dr. Dwayne Maxwell Hansen Jr., DO is a General Surgery in Rexburg, Idaho. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho and North Dakota.

Years since qualifying
9
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
ID, ND
In the registry since
2017
Specialties on file
2
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.

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Practice location Address checks out

381 E 4th N Ste 100
Rexburg, ID 83440-1684
Phone: (208) 656-8442
Fax: (208) 656-8453
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence O-1663 (ID)
Surgery Physician Taxonomy 208600000X · Licence RL14661 (ND)

Record details

NPI number1871013938
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 20, 2017
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing addressPo Box 185, Rexburg, ID 83440-0185

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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