Active NPI
David G Holland, NPC
- Nurse Practitioner
- Rexburg, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP254A
- Practice address
- SCH 100
Rexburg, ID 83460-2010 - Phone
- (208) 456-1300
- Fax
- (208) 456-1306
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP254A | ID | Primary |
Addresses
Primary practice location
SCH 100
Rexburg, ID 83460-2010
Mailing address
1025 Iona St
Idaho Falls, ID 83402-1915
Phone (208) 525-8102
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BMH Inc
Practice addresses (Care Compare)
315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990
3456 E 17TH St
Suite 125
Ammon, ID 83406-6759
Phone (208) 529-2828
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Hospital & facility affiliations
- Bingham Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP254A | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH Inc | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH Inc. | Current | Accepting new patients | |
| Intermountain Emergency Physicians | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH Inc. | Past | Accepting new patients | |
| Mountain View Hospital Physician Organization | Past | Accepting new patients |
Locations
3456 E 17th St
Ste 125
Ammon, ID 83406
Phone (208) 529-2828
1350 Parkway Dr
Ste A
Blackfoot, ID 83221
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
3302 Valencia Dr
Ste 120
Idaho Falls, ID 83404
Phone (208) 535-3635
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400
4750 Yellowstone Ave
Ste A
Pocatello, ID 83202
Phone (208) 233-1720
850 Yellowstone Ave
Ste A
Pocatello, ID 83201
Phone (208) 239-8065
275 W Locust St
Ste B
Shelley, ID 83274
275 W Locust St
Ste A
Shelley, ID 83274
Interoperability endpoints
- davidholland@bmh.medalliesdirect.net
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
-
- Emergency Medicine Physician
- Idaho Falls, ID
- NPI 1124005467
-
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1659887511
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1770785875
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1073834529
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528044955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 IONA ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834021915",
"telephone_number": "208-525-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SCH 100",
"city": "REXBURG",
"state": "ID",
"postal_code": "834602010",
"telephone_number": "208-456-1300",
"fax_number": "208-456-1306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "DAVID",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "NPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP254A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.