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

Dr. Edward Gregory Moellmer, MD

Individual provider Family Medicine Physician · NPI 1942566195

Dr. Edward Gregory Moellmer, MD is a Family Practice in Bonners Ferry, Idaho. Graduated from University of Utah School of Medicine in 2012, 14 years ago. Practices with Fallon Medical Complex Inc, a 6-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho, Montana and North Dakota.

Years since qualifying
14
Trained at
University of Utah School of Medicine
Licensed in
ID, MT, ND
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Phone: (208) 267-3141
Fax: (208) 267-2202
Show map & directions

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

Additional practice locations (2)

  • 202 S 4th St W, Baker, MT 59313-9156 — (406) 778-2488
  • 802 2nd St Nw, Bowman, ND 58623-4483 — (701) 523-5555

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-13338 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 14045 (ND)
Family Medicine Physician Taxonomy 207Q00000X · Licence 99946 (MT)

Record details

NPI number1942566195
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2012
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Fallon Medical Complex Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Bonners Ferry