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

Dr. Forrest R Fredline, DO

Individual provider Surgery Physician · NPI 1245493840

Dr. Forrest R Fredline, DO is a General Surgery in Nampa, Idaho. Graduated from Michigan State University College of Osteopathic Medicine in 2008, 18 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in Idaho and Michigan.

Years since qualifying
18
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
ID, MI
In the registry since
2008
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.

See every abbreviation used in this directory →

Practice location Address checks out

4400 E Flamingo Ave Ste 200
Nampa, ID 83687
Phone: (208) 302-2700
Fax: (208) 302-2725
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-0712 (ID)
Surgery Physician Taxonomy 208600000X · Licence 5101017665 (MI)

Record details

NPI number1245493840
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 3, 2008
Last updated in NPPESJuly 21, 2022
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 schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2008 (18 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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