Active NPI
Bradley Mark Burton, MD
- Family Medicine Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M7466
- 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
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 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Practice addresses (Care Compare)
2006 Birdie Thompson Dr
Pocatello, ID 83201-2768
Phone (208) 232-1132
Hospital & facility affiliations
- Heritage Home Health
- Symbii Home Health
- Enhabit Home Health of Eastern Idaho
- Lost Rivers Medical Center
- Portneuf Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7466 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Mountain View Family Medicine, Inc | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1053483669
Family Medicine, ID
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1700167400
-
- Home Health Agency
- Pocatello, ID
- NPI 1396074027
-
- Home Health Agency
- Chubbuck, ID
- NPI 1477177921
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.