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

Katelyn Brigham

Individual provider Pediatrics Physician · NPI 1932788189

Katelyn Brigham is a Pediatrics Physician in Eagle, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2021
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Practice location Address checks out

450 W State St
Eagle, ID 83616-7057
Phone: (208) 939-1035
Fax: (208) 939-8970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 705 Riley Hospital Dr., Indianapolis, IN 46202-5109 — (317) 944-4034

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M-17891 (ID)

Record details

NPI number1932788189
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

Other providers in Eagle