Individual provider Active NPI

Brian Carrigan, MD

  • Family Medicine Physician
  • Blackfoot, ID
National Provider Identifier
1457300279
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-5414 Issued in ID
Practice address
326 Poplar St
Blackfoot, ID 83221-1741
Phone
(208) 785-5801
Fax
(208) 785-3504
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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-5414 ID Primary

Addresses

Primary practice location

326 Poplar St
Blackfoot, ID 83221-1741

Mailing address

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-5801

Other identifiers 6

IdentifierTypeStateIssuer
000010002534OtherIDREGENCE BLUE SHIELD
76963OtherIDBLUE CROSS
74161OtherIDBLUE CROSS OLD
313146OtherIDALTIUS
003646800MedicaidID
266529OtherIDALTIUS OLD

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
I20050614000650 ID Practitioner - Family Practice 8527953132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMH Inc 137 clinicians
Bingham Memorial Hospital 68 clinicians

Practice addresses (Care Compare)

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

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

Hospital & facility affiliations

  • Symbii Home Health Home health agency, Chubbuck, ID, CCN 137110
  • Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
BMH, Inc. CurrentSince Jul 1, 2007 Accepting new patients
BMH, Inc. Current Accepting new patients
BMH Inc Current Accepting new patients
BMH Inc. Past 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

350 N Meridian St
Blackfoot, ID 83221
Phone (208) 782-0300

326 Poplar St
Blackfoot, ID 83221
Phone (208) 785-5801

Interoperability endpoints

  • Direct secure messaging: briancarrigan@bmh.medalliesdirect.net

Organizations & group practices 9

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 2

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1457300279",
    "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": "832211758",
            "telephone_number": "208-785-5801",
            "fax_number": "208-785-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 POPLAR ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211741",
            "telephone_number": "208-785-5801",
            "fax_number": "208-785-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIGAN",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-5414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010002534",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "76963",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OLD",
            "identifier": "74161",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "313146",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003646800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS OLD",
            "identifier": "266529",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackfoot, ID

Sources for this page

Verify at the official NPI Registry.