Bret Andrew Timmons, D.O.
Individual provider Active NPI Family Medicine Physician · American Falls, ID
NPI 1124120050 · NPPES record last updated Sep 9, 2011
Key facts
- NPI
- 1124120050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- O-331 (ID)
- Practice address
- 510 Roosevelt St
American Falls, ID 83211-1362 - Phone
- (208) 226-3200
- Fax
- (208) 226-3218
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BMH Inc
Practice addresses (Care Compare)
315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Hospital & facility affiliations
- Bingham Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041113000040 | ID | Practitioner - Emergency Medicine |
3173587847 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Current |
Accepting new patients | |
| BMH, Inc. | Family Medicine | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | O-331 | ID | Yes |
Addresses
Primary practice location
510 Roosevelt St
American Falls, ID 83211-1362
Mailing address
510 Roosevelt St
American Falls, ID 83211-1362
Phone (208) 226-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806849400 | Medicaid | ID | |
| O-331 | Other | ID | OSTEOPATHIC LICENSURE |
Other providers in American Falls, ID
- Rockland Pharmacy, Inc
- Spencer Garrett Seibold
- Brock Shawver
- Daniel Sterner
- Richard Thomas Sutton
- Devon Tomkinson
- Rod Thad Tucker
- Brian Vause
- Jill J Williams Gehring
- Dean L Williams
All providers in American Falls, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.