Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Brent Earl Parker Jr., ATP

Individual provider Customized Equipment (DME) · NPI 1285194134

Mr. Brent Earl Parker Jr., ATP is a Customized Equipment (DME) in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2019
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Practice location Address checks out

211 S Woodruff Ave Ste B10
Idaho Falls, ID 83401-4866
Phone: (208) 553-7805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence 3586 (ID)

Record details

NPI number1285194134
Entity typeIndividual (Type 1)
GenderMale
Credentials ATP
Sole proprietorYes
NPI enumeratedMarch 25, 2019
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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