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

Harrison Davis Blanton, MD

Individual provider Family Medicine Physician · NPI 1689932659

Harrison Davis Blanton, MD is a Family Practice in Caldwell, Idaho. Graduated from Brody School of Medicine at East Carolina University in 2012, 14 years ago. Practices with Poudre Valley Health Care Inc, a 57-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Idaho.

Years since qualifying
14
Trained at
Brody School of Medicine at East Carolina University
Licensed in
CO, ID
In the registry since
2012
Specialties on file
2
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

315 E Elm St Ste 100
Caldwell, ID 83605-4858
Phone: (208) 302-7100
Fax: (208) 302-7155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR0053011 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence M-12857 (ID)

Record details

NPI number1689932659
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2012
Last updated in NPPESJuly 31, 2019
Mailing address3340 E Goldstone Way, Meridian, ID 83642-1026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2012 (14 years in practice)
Group practice Poudre Valley Health Care Inc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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