Individual provider Active NPI

Stanley Brandon Grover, D.O.

  • Emergency Medicine Physician
  • Blackfoot, ID
National Provider Identifier
1285016311
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5771083 Issued in ID
Practice address
98 Poplar St
Blackfoot, ID 83221-1799
Phone
(208) 785-4100
NPI assigned
Jun 25, 2015
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102205572 VA
Emergency Medicine Physician 207P00000X 5771083 ID Primary
Family Medicine Physician 207Q00000X 0102205572 VA

Addresses

Primary practice location

98 Poplar St
Blackfoot, ID 83221-1799

Mailing address

98 Poplar St
Blackfoot, ID 83221-1799
Phone (208) 785-4100

Other practice location 1

58 Carroll Street
Lebanon, VA 24266
Phone (276) 883-8000

Other practice location 2

106 Park Dr
Hot Springs, VA 24445-2921
Phone (540) 839-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191216003088 VA Practitioner - Family Practice 6305156035 Reassigns benefits to 3 organizations
I20260114003554 ID Practitioner - Emergency MedicinePractitioner - Family Practice 6305156035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Virginia Regional Emergency Physicians LLCGroup PAC ID 4183991227, 88 clinicians
BMH IncGroup PAC ID 8426149758, 137 clinicians
Bath County Community HospitalGroup PAC ID 0840193819, 29 clinicians

Practice addresses (Care Compare)

100 15TH St NW
Norton, VA 24273-1616
Phone (276) 439-1000

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100

PO Box Z
Hot Springs, VA 24445

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5771083IDMDEmergency Medicine Physician
0102205572VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince Nov 11, 2019 Accepting new patients
Bath County Community Hospital CurrentSince Aug 1, 2023 Accepting new patients
BMH, Inc. CurrentSince Jan 1, 2026 Accepting new patients
BMH Inc CurrentSince Jan 1, 2026 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

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

245 Medical Park Dr
Marion, VA 24354
Phone (276) 378-1000

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

127 Health Care Dr
#3
Pennington Gap, VA 24277
Phone (276) 546-1148

Organizations & group practices 6

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 3

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1285016311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 POPLAR ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211799",
            "telephone_number": "208-785-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 POPLAR ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211799",
            "telephone_number": "208-785-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Carroll Street",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "24266",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "fax_number": "276-883-8101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Park Dr",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "VA",
            "postal_code": "244452921",
            "country_code": "US",
            "telephone_number": "540-839-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVER",
        "first_name": "STANLEY",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102205572",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "5771083",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackfoot, ID

Sources for this page

Verify at the official NPI Registry.