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

Dr. Walter Kurt Birkenhagen, MD

Individual provider Surgery Physician · NPI 1407849060

Dr. Walter Kurt Birkenhagen, MD is a Surgery Physician in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005
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

500 S 11th Ave
Pocatello, ID 83201-4835
Phone: (208) 232-7434
Fax: (208) 233-6446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M3705 (ID)

Record details

NPI number1407849060
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2005
Last updated in NPPESMarch 4, 2013

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