NPIMap

Individual provider Active NPI

Brandi Ann Bartholomew, NP

  • Family Nurse Practitioner
  • Gooding, ID
National Provider Identifier
1437835287
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77808 Issued in ID
Practice address
267 N Canyon Dr
Gooding, ID 83330-5500
Phone
(208) 934-4433
Fax
(208) 934-4442
NPI assigned
Jun 26, 2023
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 77808 ID Primary

Addresses

Primary practice location

267 N Canyon Dr
Gooding, ID 83330-5500

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

775 Pole Line Rd W
Twin Falls, ID 83301-5814
Phone (208) 814-8375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204002209 ID Practitioner - Nurse Practitioner 5193173995 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics and Sports Medicine PLLCGroup PAC ID 4587102470, 2 clinicians
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

1411 Falls Ave E
Suite 1301
Twin Falls, ID 83301-3467
Phone (208) 735-8585

746 N College Rd
Twin Falls, ID 83301-3486

775 Pole Line Rd W
Twin Falls, ID 83301-5819

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Canyon Medical Center, Inc. CurrentSince Dec 1, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Dec 13, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Dec 13, 2024 Accepting new patients
Advanced Orthopedics and Sports Medicine PLLC CurrentSince Nov 10, 2025 Accepting new patients
North Canyon Medical Center Inc. Current Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Dec 1, 2023 Accepting new patients
St Luke's Clinic LLC CurrentSince Dec 13, 2024 Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

840 N 4th E
Mountain Home, ID 83647
Phone (208) 587-1850

1411 Falls Ave E
Ste 1301
Twin Falls, ID 83301
Phone (208) 732-0067

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

775 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHEDD/Endpoint/ACHEDD

Organizations & group practices 8

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 1

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1437835287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 N CANYON DR",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833305500",
            "telephone_number": "208-934-4433",
            "fax_number": "208-934-4442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Pole Line Rd W",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015814",
            "country_code": "US",
            "telephone_number": "208-814-8375",
            "fax_number": "208-814-8376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "BRANDI",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "77808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gooding, ID

Sources for this page

Verify at the official NPI Registry.