Individual provider Active NPI

Bailey C Runkles, D.O.

  • Obstetrics & Gynecology Physician
  • Jamestown, ND
National Provider Identifier
1073855276
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14684 Issued in ND
Practice address
2422 20TH St SW
Jamestown, ND 58401-6201
Phone
(701) 952-4878
Fax
(701) 952-3265
NPI assigned
Mar 26, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 14684 ND Primary

Addresses

Primary practice location

2422 20TH St SW
Jamestown, ND 58401-6201

Mailing address

717 S Houston Ave
Suite 200
Tulsa, OK 74127-9023
Phone (918) 382-3178

Other names 1

  • Bailey C Hartswick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190708000589 LA Practitioner - Obstetrics/Gynecology 0345519575 Reassigns benefits to 1 organization
I20220620001241 ID Practitioner - Obstetrics/Gynecology 0345519575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMH IncGroup PAC ID 8426149758, shared by 7 NPIs, 137 clinicians

Practice addresses (Care Compare)

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 785-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14684NDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NRMC Physician Ipa Inc CurrentSince Jun 10, 2019 Accepting new patients
BMH, Inc. Current Accepting new patients
BMH, Inc. CurrentSince Jun 13, 2022 Accepting new patients
NRMC Physician Ipa Inc CurrentSince Jun 10, 2019 Accepting new patients
NRMC Physician Ipa Inc Current Accepting new patients
BMH Inc. CurrentSince Jun 13, 2022 Accepting new patients
BMH Inc CurrentSince Jun 13, 2022 Accepting new patients
BMH Inc. Past Accepting new patients

Locations

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

777 Hospital Way
Ste 300
Pocatello, ID 83201
Phone (208) 232-6100

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

627 Bienville Cir
Natchitoches, LA 71457
Phone (318) 214-5773

Interoperability endpoints

  • Direct secure messaging: bailey.runkles@direct.stjohnhealthsystem.com
  • Direct secure messaging: baileyrunkles@bmh.medalliesdirect.net
  • Direct secure messaging: brunkles702250@ahs.direct-ci.com
  • Direct secure messaging: brunkles714602@directa.mercy.net
  • FHIR API: https://api.platform.athenahealth.com/14680/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073855276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279023",
            "telephone_number": "918-382-3178",
            "fax_number": "918-382-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 20TH ST SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016201",
            "telephone_number": "701-952-4878",
            "fax_number": "701-952-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNKLES",
        "first_name": "BAILEY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ND",
            "license": "14684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "HARTSWICK",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.