Active NPI
Bryce Campbell
- Family Nurse Practitioner
- Rexburg, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-1475A
- Practice address
- 450 E Main St
Rexburg, ID 83440 - Phone
- (208) 359-6900
- NPI assigned
- Aug 14, 2014
- Last updated
- Aug 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-1475A | ID | Primary |
Addresses
Primary practice location
450 E Main St
Rexburg, ID 83440
Mailing address
450 E Main St
Rexburg, ID 83440-2048
Phone (208) 359-6900
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BMH Inc
Practice addresses (Care Compare)
315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-1475A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| Madison Memorial Hospital | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Community Care | Current | Accepting new patients | |
| BMH Inc | Current | Accepting new patients | |
| BMH, Inc | Current | Accepting new patients |
Locations
3456 E 17th St
Ste 125
Ammon, ID 83406
Phone (208) 529-2828
3456 E 17th St
Ste 125B
Ammon, ID 83406
Phone (208) 419-0593
1350 Parkway Dr
Ste A
Blackfoot, ID 83221
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448
2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100
3302 Valencia Dr
Ste 120
Idaho Falls, ID 83404
Phone (208) 535-3635
3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400
765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600
110 Vista Dr
Pocatello, ID 83201
Phone (208) 234-0024
1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032
4750 Yellowstone Ave
Ste A
Pocatello, ID 83202
Phone (208) 233-1720
850 Yellowstone Ave
Ste A
Pocatello, ID 83201
Phone (208) 239-8065
450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691
72 E Main St
Rexburg, ID 83440
Phone (208) 359-1770
275 W Locust St
Ste A
Shelley, ID 83274
275 W Locust St
Ste B
Shelley, ID 83274
Interoperability endpoints
- brycecampbell@bmh.medalliesdirect.net
- https://fhir-myrecord.cerner.com/r4/d61ab3e4-55bb-4859-99e6-22c413b48f2a/
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Bingham Memorial Physicians & Surgeons Center
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
-
dba Madison Clinic Physicians
- Multi-Specialty Clinic/Center
- Rexburg, ID
- NPI 1346643038
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1295009785
-
dba Bingham Specialty Plaza
- Physical Medicine & Rehabilitation Physician
- Blackfoot, ID
- NPI 1992172993
-
dba 1st Choice Urgent Care & Medical Center-Chubbuck
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1790708832
-
dba Pain and Spine Specialists of Idaho
- Pain Medicine Physician
- Pocatello, ID
- NPI 1699141150
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Eastern Idaho Regional Medical Center
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1023417037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E MAIN ST",
"city": "REXBURG",
"state": "ID",
"postal_code": "834402048",
"telephone_number": "208-359-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E MAIN ST",
"city": "REXBURG",
"state": "ID",
"postal_code": "83440",
"telephone_number": "208-359-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "BRYCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP-1475A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.