Organization Active NPI

A L P H a Care

  • Internal Medicine Physician
  • Boise, ID
National Provider Identifier
1427419647
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
A L P H A CARE
Practice address
537 W Bannock St Ste 100
Boise, ID 83702-5759
Phone
(208) 424-7799
Fax
(208) 629-1260
NPI assigned
Mar 15, 2016
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Christopher Bidiman, RN, BSN
Title
Director/Owner
Phone
(208) 596-2701

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Internal Medicine Physician 207R00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

537 W Bannock St Ste 100
Boise, ID 83702-5759

Mailing address

537 W Bannock St Ste 100
Boise, ID 83702-5759
Phone (208) 424-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250120000690 ID Part B Supplier - Clinic/Group Practice 6709315872 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

National Provider Directory

National Provider Directory
Tax ID family
A L P H a Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

815 W Washington St
Lowr
Boise, ID 83702

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1427419647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 W BANNOCK ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025759",
            "telephone_number": "208-424-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W BANNOCK ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025759",
            "telephone_number": "208-424-7799",
            "fax_number": "208-629-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A L P H A CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "BIDIMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "208-596-2701",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.