Mountain View Family Medicine, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNTAIN VIEW FAMILY MEDICINE, INC

Practice address

2006 Birdie Thompson Dr
Pocatello, ID 83201-2768

Phone

(208) 232-1132

Fax

(208) 232-1134

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Bradley Mark Burton, M.D.NPI 1093818239

Title

President

Phone

(208) 232-1132

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Mark Burton, MD

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1093818239
  Medicare reassignment Care Compare group NPD Authorized official
• Earl Evan Holmstead, MD

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1790870400
  Medicare reassignment Care Compare group NPD
• Mallory Driscoll, PA-C

  • Physician Assistant
  • Eagle River, AK
  • NPI 1972012482

  ID

  Medicare reassignment
• Jordin Millward, PHARMD

  • Pharmacotherapy Pharmacist
  • Pocatello, ID
  • NPI 1003477415
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053483669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 BIRDIE THOMPSON DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012768",
            "telephone_number": "208-232-1132",
            "fax_number": "208-232-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 BIRDIE THOMPSON DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012768",
            "telephone_number": "208-232-1132",
            "fax_number": "208-232-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-232-1132",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1373873",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86428200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Moses
• Mother Nurture Lactation Consulting LLC
• Mountain Valley Health Services
• Mountain Valley Hospice, Inc
• Mountain Valley Imaging Partners
• Mountain View Hospital LLC
• Julia Lancaster Muckerman, CNM, MSN
• Terri L Muegerl, LMSW
• Sasha Marie Mueller
• Katie L Mulalley, LPC

• Family Medicine Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.