Individual provider Active NPI

Bradley Mark Burton, MD

  • Family Medicine Physician
  • Pocatello, ID
National Provider Identifier
1093818239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7466 Issued in ID
Practice address
2006 Birdie Thompson Drive
Pocatello, ID 83201
Phone
(208) 232-1132
Fax
(208) 232-1134
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M7466 ID Primary

Addresses

Primary practice location

2006 Birdie Thompson Drive
Pocatello, ID 83201

Mailing address

2006 Birdie Thompson Drive
Pocatello, ID 83201
Phone (208) 232-1132

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
I20050427000674 ID Practitioner - Family Practice 7719946698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain View Family Medicine IncGroup PAC ID 3274592159, 2 clinicians

Practice addresses (Care Compare)

2006 Birdie Thompson Dr
Pocatello, ID 83201-2768
Phone (208) 232-1132

Hospital & facility affiliations

  • Heritage Home Health Home health agency, Pocatello, ID, CCN 137117
  • Symbii Home Health Home health agency, Chubbuck, ID, CCN 137110
  • Enhabit Home Health of Eastern Idaho Home health agency, Idaho Falls, ID, CCN 137105
  • Lost Rivers Medical Center Hospital, Arco, ID, CCN 131324
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7466IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Health Services, LLC Current Accepting new patients
Mountain View Family Medicine, Inc Family Medicine CurrentSince Oct 1, 2002 Accepting new patients

Locations

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

777 Hospital Way
Ste 101
Pocatello, ID 83201
Phone (208) 234-2001

2006 Birdie Thompson Dr
Pocatello, ID 83201
Phone (208) 232-1132

Interoperability endpoints

  • Direct secure messaging: bburton261752@ahs.direct-ci.com

Organizations & group practices 2

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

Hospital & facility affiliations 6

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093818239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 BIRDIE THOMPSON DRIVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "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 DRIVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-232-1132",
            "fax_number": "208-232-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "BRADLEY",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M7466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.