NPIMap

Individual provider Active NPI

Brett T Mumford, D.O.

  • Emergency Medicine Physician
  • Orofino, ID
National Provider Identifier
1164463113
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
O-266 Issued in ID
Practice address
301 Cedar St
Orofino, ID 83544-9029
Phone
(208) 476-5777
Fax
(208) 476-5385
NPI assigned
Jun 9, 2006
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X O-266 ID Primary
Family Medicine Physician 207Q00000X O266 ID

Addresses

Primary practice location

301 Cedar St
Orofino, ID 83544-9029

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 476-5777

Other practice location 1

119 N Wardwell Ave
Emmett, ID 83617-3040
Phone (208) 365-6311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20031223000750 ID Practitioner - Emergency MedicinePractitioner - Family Practice 4880592112 Reassigns benefits to 8 organizations
I20071023000415 OR Practitioner - HospitalistPractitioner - Family Practice 4880592112 Reassigns benefits to 3 organizations
I20170720000018 TX Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4880592112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Mountain Hospital DistrictGroup PAC ID 5193719219, shared by 2 NPIs, 29 clinicians
Jonathan Barrus DO PCGroup PAC ID 8729489620, 5 clinicians
Syringa General Hospital District C I FGroup PAC ID 6800707530, shared by 4 NPIs, 19 clinicians

Practice addresses (Care Compare)

170 Ford Rd
John Day, OR 97845-2009
Phone (541) 575-1311

2020 S Johns Ave
Suite B
Emmett, ID 83617-9410
Phone (208) 369-4340

607 W Main St
Grangeville, ID 83530-1345
Phone (208) 983-1700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-266IDMDEmergency Medicine Physician
O266IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Sep 11, 2020 Accepting new patients
Walter Knox Memorial Hospital Current Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Family Medicine CurrentSince Sep 11, 2020 Accepting new patients
Syringa General Hospital District C I F CurrentSince Jun 1, 2018 Accepting new patients
DHHS IHS Phoenix CurrentSince Jun 29, 2017 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Nov 9, 2025 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Blue Mountain Hospital District Family Medicine CurrentSince May 8, 2020 Accepting new patients
St. Mary's Hospital Inc Family Medicine CurrentSince Dec 17, 2024 Accepting new patients
Apogee Medical Group PC Current Accepting new patients
Hospitalist Medicine Physicians of Idaho- Nampa PLLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Blue Mountain Hospital District CurrentSince May 8, 2020 Accepting new patients
Jonathan Barrus DO PC Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Syringa General Hospital District C I F CurrentSince Jun 1, 2018 Accepting new patients
St. Mary's Hospital Inc CurrentSince Dec 17, 2024 Accepting new patients
Apogee Medical Group PC CurrentSince Jan 1, 2018 Accepting new patients
Apogee Medical Group PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

2020 S Johns Ave
Ste B
Emmett, ID 83617
Phone (208) 369-4340

607 W Main St
Grangeville, ID 83530
Phone (208) 983-1700

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

170 Ford Rd
John Day, OR 97845
Phone (541) 575-1311

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

Interoperability endpoints

  • Direct secure messaging: bmumford@valorhealth.cernerdirect.com
  • Direct secure messaging: brett.mumford.1@23758.direct.athenahealth.com
  • Direct secure messaging: brettm@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/23758/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4fb2ef4c-fc22-4675-b38f-5641155a5454/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1164463113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-476-5777",
            "fax_number": "208-476-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CEDAR ST",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449029",
            "telephone_number": "208-476-5777",
            "fax_number": "208-476-5385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 N Wardwell Ave",
            "address_purpose": "LOCATION",
            "city": "Emmett",
            "state": "ID",
            "postal_code": "836173040",
            "country_code": "US",
            "telephone_number": "208-365-6311",
            "fax_number": "208-365-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMFORD",
        "first_name": "BRETT",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O-266",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orofino, ID

Sources for this page

Verify at the official NPI Registry.