Individual provider Active NPI

Brandon Beck, D.O.

  • Surgery Physician
  • Rupert, ID
National Provider Identifier
1528478294
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
O-1383 Issued in ID
Practice address
1218 9TH St Ste 10
Rupert, ID 83350-2207
Phone
(208) 436-8340
NPI assigned
May 5, 2014
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X O-1383 ID Primary

Addresses

Primary practice location

1218 9TH St Ste 10
Rupert, ID 83350-2207

Mailing address

1218 9TH St Ste 10
Rupert, ID 83350-2207
Phone (208) 436-8340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20230612001150 UT Practitioner - General Surgery 1052734704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Arizona College of Osteopathic Medicine Mid Western University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Medical CenterGroup PAC ID 2668380460, shared by 5 NPIs, 25 clinicians

Practice addresses (Care Compare)

48 W 1500
Nephi, UT 84648-8900
Phone (435) 623-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.28 of 100Reported as group
Quality
63.71
Promoting interoperability
98
Improvement activities
40
Cost
75.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Medical Center Current Accepting new patients
Central Valley Medical Center Multi-Specialty CurrentSince May 30, 2023 Accepting new patients
Central Valley Medical Center Pharmacy Multi-Specialty Past Accepting new patients

Locations

48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000

210 E Main St
Santaquin, UT 84655
Phone (801) 373-2499

Interoperability endpoints

  • Direct secure messaging: bbeck@minidokamh.securechart.com

Organizations & group practices 3

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 5

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1528478294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 9TH ST STE 10",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833502207",
            "telephone_number": "208-436-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 9TH ST STE 10",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833502207",
            "telephone_number": "208-436-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "BRANDON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "O-1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

Verify at the official NPI Registry.