Individual provider Active NPI

Charles Malcolm Clair Jr., MD

  • Family Medicine Physician
  • Rupert, ID
National Provider Identifier
1003012204
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-10525 Issued in ID
Practice address
1224 8TH St
Rupert, ID 83350-1599
Phone
(208) 436-0481
Fax
(208) 436-6038
NPI assigned
Jun 25, 2007
Last updated
Nov 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X M-10525 ID
Family Medicine Physician 207Q00000X M-10525 ID Primary

Addresses

Primary practice location

1224 8TH St
Rupert, ID 83350-1599

Mailing address

1322 Stoneridge Dr
Pocatello, ID 83201-5043
Phone (208) 436-0481

Other practice location 1

1071 Renee Ave
Pocatello, ID 83201-2508
Phone (208) 252-5602

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cclair10728865@direct.sanfordhealth.org Direct Bozeman Health Big Sky Medical Center, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819001006 ID Practitioner - Family Practice 6709910128 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Steele Memorial Medical Center CurrentSince Feb 10, 2015 Accepting new patients
Steele Memorial Medical Center CurrentSince Feb 10, 2015 Accepting new patients

Locations

203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291

Interoperability endpoints

  • Direct secure messaging: cclair@minidokamh.securechart.com
  • Direct secure messaging: cclair10728865@direct.sanfordhealth.org
  • Direct secure messaging: cclear265914@ahs.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1003012204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 STONERIDGE DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015043",
            "telephone_number": "208-436-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 8TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501599",
            "telephone_number": "208-436-0481",
            "fax_number": "208-436-6038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1071 Renee Ave",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832012508",
            "country_code": "US",
            "telephone_number": "208-252-5602",
            "fax_number": "208-269-7094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAIR",
        "first_name": "CHARLES",
        "middle_name": "MALCOLM",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-10525",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-10525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cclair10728865@direct.sanfordhealth.org",
            "affiliation": "Y",
            "affiliationName": "Bozeman Health Big Sky Medical Center, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "334 Town Center Avenue",
            "city": "Big Sky",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

Verify at the official NPI Registry.