Organization Active NPI

Beacon Cancer Care PLLC

  • Hematology & Oncology Physician
  • Boise, ID
National Provider Identifier
1255238598
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
BEACON CANCER CARE PLLC
Practice address
8950 W Emerald St Ste 108
Boise, ID 83704-4842
Phone
(208) 755-2804
Fax
(208) 765-0277
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Tracy Gelfman Harrell
Title
Credentialing Data Specialist
Phone
(386) 301-3753

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary
Rheumatology Physician 207RR0500X
Diagnostic Radiology Physician 2085R0202X
Urology Physician 208800000X

Addresses

Primary practice location

8950 W Emerald St Ste 108
Boise, ID 83704-4842

Mailing address

3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804

Other practice location 1

8854 W Emerald St Ste 260
Boise, ID 83704-4860
Phone (208) 755-2804

National Provider Directory

National Provider Directory
Tax ID family
Beacon Cancer Care PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1255238598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD ST STE 108",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044842",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8854 W Emerald St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837044860",
            "country_code": "US",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEACON CANCER CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "GELFMAN",
        "authorized_official_title_or_position": "CREDENTIALING DATA SPECIALIST",
        "authorized_official_telephone_number": "386-301-3753"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.