Boise Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BOISE FAMILY MEDICINE, LLC

Practice address

10798 W Overland Rd
Boise, ID 83709-1329

Phone

(208) 377-3368

Fax

(208) 322-4691

NPI assigned

Nov 8, 2016

Last updated

Aug 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tara J Brumpton, PA-CNPI 1285986778

Title

Officer

Phone

(208) 377-3368

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17614/brand/1/csg/1/fhir/r4

Practitioners 10

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.

• Tara J Brumpton, PA-C

  • Physician Assistant
  • Boise, ID
  • NPI 1285986778
  Medicare reassignment Care Compare group Authorized official
• Blake B Bechtle, PA-C

  • Physician Assistant
  • Nampa, ID
  • NPI 1386356657
  Medicare reassignment Care Compare group
• Jon R Fox, PA-C

  • Physician Assistant
  • Boise, ID
  • NPI 1447221932
  Medicare reassignment Care Compare group
• Erin J Montgomery, PA-C

  • Medical Physician Assistant
  • Chico, CA
  • NPI 1245782416

  ID

  Medicare reassignment Care Compare group
• Kirk A. Campana, M.D.

  • General Practice Physician
  • Boise, ID
  • NPI 1205819950

  Family Medicine

  Medicare reassignment NPD
• Elizabeth B Judy-Fudge, PA

  • Medical Physician Assistant
  • Boise, ID
  • NPI 1083123277
  Medicare reassignment
• Taylor Ramos, PA-C

  • Physician Assistant
  • Boise, ID
  • NPI 1336754324
  Medicare reassignment
• Ashley A Davis, MD

  • Family Medicine Physician
  • Boise, ID
  • NPI 1437180841
  NPD (past)
• Cody Kay Kirkham, PA-C

  • Medical Physician Assistant
  • Boise, ID
  • NPI 1770313942
  NPD (past)
• Donna Marie Lowther, NP

  • Nurse Practitioner
  • Boise, ID
  • NPI 1649297268
  NPD (past)

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1356883326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10798 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091329",
            "telephone_number": "208-377-3368",
            "fax_number": "208-322-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10798 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091329",
            "telephone_number": "208-377-3368",
            "fax_number": "208-322-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "BRUMPTON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "208-377-3368",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boise ENT, LLC
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• Boise Family Dental Care, PLLC
• Boise Family Dental Overland
• Boise Family Medicine Center
• Boise Family Psychology, PLLC
• Boise Foot and Ankle Group
• Boise Gastroenterology Associates (Idaho Endoscopy Center)
• Boise Gastroenterology Associates
• Boise Green Tree Dental LLC (Green Tree Dental)

• Family Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.