Active NPI
BMH, Inc.
Doing business as Bingham Memorial Physicians
- Family Medicine Physician
- Blackfoot, ID
National Provider Identifier
1649460130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BMH, INC.
- Doing business as
- Bingham Memorial Physicians
- Practice address
- 98 Poplar St
Blackfoot, ID 83221-1758 - Phone
- (208) 785-4100
- NPI assigned
- Jul 31, 2007
- Last updated
- Dec 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Erickson
- Title
- Ceo
- Phone
- (208) 785-3801
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ID | ||
| Dermatology Physician | 207N00000X | ID | ||
| Family Medicine Physician | 207Q00000X | ID | Primary | |
| Internal Medicine Physician | 207R00000X | ID | ||
| Neurological Surgery Physician | 207T00000X | ID | ||
| Obstetrics & Gynecology Physician | 207V00000X | ID | ||
| Orthopaedic Surgery Physician | 207X00000X | ID | ||
| Pediatrics Physician | 208000000X | ID | ||
| Surgery Physician | 208600000X | ID | ||
| Pain Medicine Physician | 208VP0000X | ID |
Addresses
Primary practice location
98 Poplar St
Blackfoot, ID 83221-1758
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002854200 | Medicaid | ID | |
| 8N219 | Other | ID | BLUE CROSS GRP |
| 8L535 | Other | ID | BLUE CROSS GRP OLD |
Other names 1
- Bingham Memorial Physicians
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071018000897 | ID | Part B Supplier - Clinic/Group Practice | 8426149758 |
Receives reassigned benefits from 183 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Blackfoot, ID; Ammon, ID; Pocatello, ID; Idaho Falls, ID |
Other NPIs on the same Medicare enrollment 29
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Bingham Memorial Specialists
- Surgery Physician
- Blackfoot, ID
- NPI 1164611430
O20071018000897
-
dba 1st Choice Urgent Care & Medical Clinic at Lincoln Square
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1174091896
O20071018000897
-
dba Lamere Woman's Care Centre
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1790948040
O20071018000897
-
dba First Choice Urgent Care and Medical Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1922243088
O20071018000897
-
dba The Health and Wellness Sleep Institute of Pocatello
- Nurse Practitioner
- Pocatello, ID
- NPI 1104332048
O20071018000897
-
dba Bingham Healthcare Specialty Clinic - 4th St
- Family Medicine Physician
- Pocatello, ID
- NPI 1134621436
O20071018000897
-
dba Superior Health Clinic
- Primary Care Clinic/Center
- Pocatello, ID
- NPI 1285936781
O20071018000897
-
dba 1st Choice Urgent Care Bannock Highway
- Multi-Specialty Clinic/Center
- Pocatello, ID
- NPI 1548727571
O20071018000897
-
dba Pocatello Women's Health Clinic
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1659887511
O20071018000897
-
dba Clifford Family Medicine
- Family Medicine Physician
- Pocatello, ID
- NPI 1881190650
O20071018000897
-
dba Bingham Healthcare Specialty Clinic-Martha
- Surgery Physician
- Idaho Falls, ID
- NPI 1922512722
O20071018000897
-
dba Bingham Healthcare Specialty Clinic - 17TH St
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1215398672
O20071018000897
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1649460130",
"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": "208-785-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-785-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BMH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "ERICKSON",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-785-3801"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "ID",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002854200",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GRP",
"identifier": "8N219",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GRP OLD",
"identifier": "8L535",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bingham Memorial Physicians",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bingham Memorial Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Blackfoot, ID
- BMH, Inc. (Bingham Memorial Physicians & Surgeons Center)
- BMH, Inc. (Cedar Creek Family Medicine)
- BMH, Inc. (Bingham Memorial Women's Center)
- BMH, Inc. (Bingham Memorial Family Medicine)
- BMH, Inc. (Blackfoot Orthopedic Center)
- BMH, Inc. (Bingham Memorial Specialty Clinic - Poplar)
- BMH, Inc. (Mountain River Medical Associates)
- Brian Don Boehme
- Kerry Lynn Bowman, MS, CCC-SLP
- Bridges of Hope Psychiatry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.