Brandon Smith, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

65705 Issued in ID

Practice address

5067 Camden St
Chubbuck, ID 83202-3501

Phone

(208) 840-0044

NPI assigned

Sep 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BMH IncGroup PAC ID 8426149758, shared by 7 NPIs, 137 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health of Eastern Idaho Home health agency, Idaho Falls, ID, CCN 137105
• Heritage Home Health Home health agency, Pocatello, ID, CCN 137117
• Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325
• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandonsmith@bmh.medalliesdirect.net

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.

• BMH Inc

  • Critical Access Hospital
  • Blackfoot, ID
  • NPI 1982805271
  Medicare reassignment NPD
• BMH, Inc.

  dba Bingham Memorial Physicians & Surgeons Center

  • Surgery Physician
  • Blackfoot, ID
  • NPI 1255539193
  Medicare reassignment NPD
• CC Pocatello LLC

  dba Community Care Pocatello

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1538517156
  Medicare reassignment NPD
• Community Care West Side LLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1295009785
  Medicare reassignment NPD
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Medicare reassignment NPD
• BMH, Inc

  dba Bingham Healthcare Specialty Clinic - 17TH St

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1215398672
  NPD
• BMH, Inc.

  dba 1st Choice Urgent Care & Medical Center-Chubbuck

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1295502995
  NPD
• Community Care Pocatello PLLC

  • Urgent Care Clinic/Center
  • Pocatello, ID
  • NPI 1265714760
  NPD
• BMH Inc.

  dba Idaho Physicians Clinic

  • Rural Health Clinic/Center
  • Blackfoot, ID
  • NPI 1770785875
  NPD (past)

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

• BMH Inc

  • Critical Access Hospital
  • Blackfoot, ID
  • NPI 1982805271
  Care Compare affiliation
• Eh Home Health of the West, LLC

  dba Enhabit Home Health of Eastern Idaho

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1700167400
  Care Compare affiliation
• Heritage Home Health LLC

  • Home Health Agency
  • Pocatello, ID
  • NPI 1396074027
  Care Compare affiliation
• Pocatello Hospital LLC

  dba Portneuf Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114
  Care Compare affiliation
• Pocatello Hospital LLC

  dba Portneuf Medical Center

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055
  Care Compare affiliation

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1255947255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5067 CAMDEN ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832023501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5067 CAMDEN ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832023501",
            "telephone_number": "208-840-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDON",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "65705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "phone",
            "affiliation": "N",
            "address_1": "5067 Camden St",
            "city": "Chubbuck",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832023501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Paige Leigh Smedley, LMSW
• Keelie Smith, PARAPROFESSIONAL
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #61)
• Snake River Pharmacy
• Cassie Snell, LMSW
• Soulrise Counseling PLLC

• Nurse Practitioner in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.

Verify at the official NPI Registry.