Active NPI
BMH, Inc.
Doing business as Physicians & Surgeons Clinic of Pocatello
- Multi-Specialty Clinic/Center
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- BMH, INC.
- Doing business as
- Physicians & Surgeons Clinic of Pocatello
- Practice address
- 1151 Hospital Way # D-100
Pocatello, ID 83201-5091 - Phone
- (208) 239-8010
- Fax
- (208) 782-2974
- NPI assigned
- Apr 23, 2008
- Last updated
- Dec 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Erickson
- Title
- Ceo
- Phone
- (208) 785-3801
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1151 Hospital Way # D-100
Pocatello, ID 83201-5091
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Other names 1
- Physicians & Surgeons Clinic of Pocatello
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071018000897 | ID | Part B Supplier - Clinic/Group Practice | 8426149758 |
Receives reassigned benefits from 183 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Blackfoot, ID; Ammon, ID; Pocatello, ID; Idaho Falls, ID |
Other NPIs on the same Medicare enrollment 29
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Bingham Memorial Specialists
- Surgery Physician
- Blackfoot, ID
- NPI 1164611430
O20071018000897
-
dba 1st Choice Urgent Care & Medical Clinic at Lincoln Square
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1174091896
O20071018000897
-
dba Lamere Woman's Care Centre
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1790948040
O20071018000897
-
dba First Choice Urgent Care and Medical Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1922243088
O20071018000897
-
dba The Health and Wellness Sleep Institute of Pocatello
- Nurse Practitioner
- Pocatello, ID
- NPI 1104332048
O20071018000897
-
dba Bingham Healthcare Specialty Clinic - 4th St
- Family Medicine Physician
- Pocatello, ID
- NPI 1134621436
O20071018000897
-
dba Superior Health Clinic
- Primary Care Clinic/Center
- Pocatello, ID
- NPI 1285936781
O20071018000897
-
dba 1st Choice Urgent Care Bannock Highway
- Multi-Specialty Clinic/Center
- Pocatello, ID
- NPI 1548727571
O20071018000897
-
dba Pocatello Women's Health Clinic
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1659887511
O20071018000897
-
dba Clifford Family Medicine
- Family Medicine Physician
- Pocatello, ID
- NPI 1881190650
O20071018000897
-
dba Bingham Healthcare Specialty Clinic-Martha
- Surgery Physician
- Idaho Falls, ID
- NPI 1922512722
O20071018000897
-
dba Bingham Healthcare Specialty Clinic - 17TH St
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1215398672
O20071018000897
National Provider Directory
National Provider Directory- Tax ID family
- BMH Inc
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bingham Memorial Extended Care Facility
- Skilled Nursing Facility
- Blackfoot, ID
- NPI 1992785307
-
dba Physicians and Surgeons of Shelley
- Rural Health Clinic/Center
- Shelley, ID
- NPI 1366630949
-
- Medicare Defined Swing Bed Hospital Unit
- Blackfoot, ID
- NPI 1689876781
-
- Critical Access Hospital
- Pocatello, ID
- NPI 1972412021
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Bingham Memorial Specialist of Idaho Falls
- Pain Medicine Physician
- Idaho Falls, ID
- NPI 1073032413
-
dba Idaho Orthopaedic & Sports Clinic, P.A.
- Sports Medicine (Orthopaedic Surgery) Physician
- Pocatello, ID
- NPI 1114445087
-
dba 1st Choice Urgent Care Bannock Highway
- Multi-Specialty Clinic/Center
- Pocatello, ID
- NPI 1548727571
-
dba Pocatello Women's Health Clinic
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1659887511
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Blackfoot, ID
- NPI 1518543768
-
- Family Nurse Practitioner
- Blackfoot, ID
- NPI 1720580848
-
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1801848221
-
- Emergency Medicine Physician
- Burley, ID
- NPI 1992967053
-
- Adult Health Nurse Practitioner
- Chubbuck, ID
- NPI 1245017375
-
- Family Medicine Physician
- Boise, ID
- NPI 1992248355
-
- Emergency Medicine Physician
- Blackfoot, ID
- NPI 1932468337
-
- Obstetrics & Gynecology Physician
- Blackfoot, ID
- NPI 1225292220
-
- Pain Medicine (Anesthesiology) Physician
- Idaho Falls, ID
- NPI 1235454901
-
- Gastroenterology Physician
- Spokane, WA
- NPI 1588651400
-
- General Practice Physician
- Pittsburgh, PA
- NPI 1902143811
-
- Urology Physician
- Denver, CO
- NPI 1457443251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1114192986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-785-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 HOSPITAL WAY # D-100",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015091",
"telephone_number": "208-239-8010",
"fax_number": "208-782-2974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BMH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "ERICKSON",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-785-3801"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Physicians & Surgeons Clinic of Pocatello",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Physicians & Surgeons Clinic of Pocatello",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pocatello, ID
- BMH Inc. (1st Choice Urgent Care Bannock Highway)
- BMH Inc. (Pocatello Women's Health Clinic)
- BMH Inc. (Clifford Family Medicine)
- BMH, Inc (Bingham Healthcare Pharmacy)
- BMH, Inc (Bingham Healthcare Specialty Clinic - Terry St)
- BMH, Inc. (Bingham Healthcare Specialty Clinic and Urgent Care - Yellowstone Ave)
- BMH, Inc. (Bingham Healthcare Specialty Clinic - Vista)
- BMH, Inc. (1st Choice Urgent Care & Medical Center-Chubbuck)
- BMH, Inc. (Dr. Adam Wray's Dermatology)
- Joel Bocanegra, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.