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BRIZZEE FAMILY MEDICINE, INC.

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Company Details

Name: BRIZZEE FAMILY MEDICINE, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 16 Feb 2010 (15 years ago)
Financial Date End: 28 Feb 2026
Date dissolved: 13 May 2025
Entity Number: 562702
Place of Formation: IDAHO
File Number: 562702
ZIP code: 83202
County: Bannock County
Mailing Address: 2010 FLANDRO DR POCATELLO, ID 83202-1947

Agent

Name Role Address
DENNIS P WILKINSON Agent 3480 MERLIN DR, IDAHO FALLS, ID 83404

President

Name Role Address Appointed On
David Brizzee President 13807 N PHILBIN, POCATELLO, ID 83202 2021-11-27

Secretary

Name Role Address Appointed On
David Brizzee Secretary 13807 N PHILBIN, POCATELLO, ID 83202 2024-01-11

National Provider Identifier

NPI Number:
1629392626

Authorized Person:

Name:
DAVID PAUL BRIZZEE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2082380603

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006254003 2025-05-13
Dissolution/Revocation - Administrative 0006252666 2025-05-13
Annual Report 0005560045 2024-01-11
Annual Report 0005055223 2023-01-05
Annual Report 0004573325 2022-01-17

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
23400.00
Total Face Value Of Loan:
23400.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$23,400
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$23,552.58
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $23,400

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State