Individual provider Active NPI

Chad Rodger Horrocks, MD

  • Family Medicine Physician
  • Driggs, ID
National Provider Identifier
1407925639
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-7721 Issued in ID
Practice address
283 N 1St E
Driggs, ID 83422-5109
Phone
(208) 354-2302
Fax
(208) 354-8392
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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-7721 ID Primary

Addresses

Primary practice location

283 N 1St E
Driggs, ID 83422-5109

Mailing address

283 N 1St E
Driggs, ID 83422-5109
Phone (208) 354-2302

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000368 ID Practitioner - Family PracticePractitioner - Emergency Medicine 1456450071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Eastern Virginia Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teton Valley Health Care IncGroup PAC ID 3870744956, shared by 4 NPIs, 31 clinicians

Practice addresses (Care Compare)

283 N 1St St
Driggs, ID 83422-5109
Phone (208) 354-2302

83 N Main St
Victor, ID 83455-1301
Phone (208) 354-6307

Hospital & facility affiliations

  • Enhabit Home Health of Eastern Idaho Home health agency, Idaho Falls, ID, CCN 137105
  • Eden Home Health -Idahofalls Home health agency, Idaho Falls, ID, CCN 137119
  • Teton Valley Hospital Hospital, Driggs, ID, CCN 131313
  • St Johns Medical Center Hospital, Jackson, WY, CCN 530015
  • Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care Inc CurrentSince Oct 30, 2025 Accepting new patients
Teton Valley Health Care Inc Family Medicine Current Accepting new patients
Teton Valley Health Care, Inc CurrentSince Jan 1, 2013 Accepting new patients
Teton Valley Health Care Inc Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

Interoperability endpoints

  • Direct secure messaging: chad.horrocks.1@15468.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407925639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 N 1ST E",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225109",
            "telephone_number": "208-354-2302",
            "fax_number": "208-354-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 N 1ST E",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225109",
            "telephone_number": "208-354-2302",
            "fax_number": "208-354-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORROCKS",
        "first_name": "CHAD",
        "middle_name": "RODGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-7721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Driggs, ID

Sources for this page

Verify at the official NPI Registry.