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

Dr. Michael Bryon Spackman, MD

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1386887032

Dr. Michael Bryon Spackman, MD is a Physical Medicine and Rehabilitation in Meridian, Idaho. Qualified in 2006, 20 years ago. Practices with Spine Institute of Idaho PA, a 5-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
20
Licensed in
ID
In the registry since
2009
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

360 E Montvue Dr Ste 100
Meridian, ID 83642
Phone: (208) 855-2900
Show map & directions

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

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence M11335 (ID)

Record details

NPI number1386887032
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 10, 2009
Last updated in NPPESJuly 11, 2018
Mailing address2835 N Tanglerose Pl, Eagle, ID 83616-5796

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesPAIN MANAGEMENT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Spine Institute Of Idaho Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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