Brent Blue, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3416A Issued in WY

Practice address

190 Mustang Drive
Driggs, ID 83422-0000

Phone

(307) 733-7835

Fax

(307) 201-4999

NPI assigned

May 23, 2006

Last updated

Mar 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Family PracticeAlso: Emergency Medicine, Pediatric Medicine

Education

University of Louisville School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Johns Medical Center Hospital, Jackson, WY, CCN 530015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Teton County Hospital District

  dba St John's Home Care

  • Home Health Agency
  • Jackson, WY
  • NPI 1194744235

  Corporate Director

  CMS ownership
• Teton County Hospital District

  dba St John's Health Sage Living

  • Skilled Nursing Facility
  • Jackson, WY
  • NPI 1215064985

  Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

  CMS ownership

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.

• Brent Blue MD

  dba Blue Medical Care

  • Family Medicine Physician
  • Driggs, ID
  • NPI 1356556518

  WY

  Medicare reassignment NPD Authorized official
• Grand Teton Medical Clinic

  • Urgent Care Clinic/Center
  • Moran, WY
  • NPI 1891997151
  NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Teton County Hospital District

  dba St John's Medical Center/ or St John's Health

  • General Acute Care Hospital
  • Jackson, WY
  • NPI 1801835475
  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1063467538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830140025",
            "telephone_number": "307-733-7835",
            "fax_number": "307-201-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MUSTANG DRIVE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834220000",
            "telephone_number": "307-733-7835",
            "fax_number": "307-201-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 W Broadway Ave Apt 202",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018217",
            "country_code": "US",
            "telephone_number": "307-733-7835",
            "fax_number": "307-201-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUE",
        "first_name": "BRENT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WY",
            "license": "3416A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A31472",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "3416A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanie Benson
• Karlin L Bilcher, LPC, M. DIV
• Alexis Blaser, MS, RDN, LD
• Michael P Bleffert, PT
• Blue Zone Healthcare LLC
• Michelle Bodenhamer, D.P.T.
• Liesje Chantal Bouwman, LMSW
• Halina Boyd
• Brent Blue MD (Blue Medical Care)
• Jennifer Lynn Brinson, LCSW

• Family Medicine Physician in Driggs, ID
• Providers in Driggs, 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 Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.