NPIMap

Individual provider Active NPI

Bridgette Marie Baker, MD

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1265693386
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-10880 Issued in ID
Practice address
8950 W Emerald St #195
Boise, ID 83704
Phone
(208) 999-3034
Fax
(208) 576-4201
NPI assigned
Jun 20, 2008
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-10880 ID Primary

Addresses

Primary practice location

8950 W Emerald St #195
Boise, ID 83704

Mailing address

8950 W Emerald St #195
Boise, ID 83704
Phone (208) 999-3034

Other identifiers 1

IdentifierTypeStateIssuer
808082500MedicaidID

Other names 1

  • Bridgette Marie Latimer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110927000287 ID Practitioner - Family Practice 9638340458 Reassigns benefits to 1 organization
I20200306001847 MT Practitioner - Family Practice 9638340458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Neighborhood Clinic LLCGroup PAC ID 6709190861, 6 clinicians

Practice addresses (Care Compare)

Boise, ID 83713
Phone (208) 665-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-10880IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Neighborhood Clinic, LLC Family Medicine CurrentSince Jul 25, 2024 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Momentum Medical Group of Idaho LLC Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Auburn Crest Hospice, LLC Family Medicine CurrentSince Aug 11, 2024 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

3751 N Cloverdale Rd
Boise, ID 83713
Phone (208) 321-5073

8950 W Emerald St
Ste 195
Boise, ID 83704
Phone (208) 376-7313

8382 N Wayne Dr
Ste 205
Hayden, ID 83835
Phone (208) 506-5736

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

Interoperability endpoints

  • Direct secure messaging: bridgette.baker.1@33107.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEHCDD

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1265693386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD ST #195",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-999-3034",
            "fax_number": "208-576-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD ST #195",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-999-3034",
            "fax_number": "208-576-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRIDGETTE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-10880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808082500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGETTE",
            "last_name": "LATIMER",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.