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

Spencer Funk, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417516949

Spencer Funk, DO is a Neurology in Twin Falls, Idaho. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2019, 7 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
ID
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone: (208) 814-4100
Fax: (208) 814-4908
Show map & directions

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

Additional practice locations (1)

  • 8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048-1804 — (310) 423-2811

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence O-1977 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417516949
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 8, 2019
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2019 (7 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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