Individual provider Active NPI

Thomas Holland Bigham, D.O.

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1689642332
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5333623-1204 Issued in UT
Practice address
168 North 100 East
Suite 101
St. George, UT 84770-3197
Phone
(435) 986-2565
Fax
(435) 986-2565
NPI assigned
Mar 9, 2006
Last updated
Aug 31, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4097 AZ
Family Medicine Physician 207Q00000X 5333623-1204 UT Primary

Addresses

Primary practice location

168 North 100 East
Suite 101
St. George, UT 84770-3197

Mailing address

168 North 100 East
Suite 101
St. George, UT 84770-3197
Phone (435) 986-2565

Other identifiers 1

IdentifierTypeStateIssuer
1689642332MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040514000659 UT Practitioner - Family Practice 6204826902 Reassigns benefits to 3 organizations
Practice locations: St George, UT
I20160122001774 TX Practitioner - Osteopathic Manipulative Medicine 6204826902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

223 S 200
Enterprise, UT 84725
Phone (435) 878-2281

223 S 200
Enterprise, UT 84725-0370

PO Box
Enterprise, UT 84725-0370

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4097AZMDDentist
5333623-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Services, LLC Dba Peak Medical Services CurrentSince Oct 16, 2017 Accepting new patients
DHHS IHS Phoenix CurrentSince Dec 17, 2015 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Enterprise Valley Medical Clinic, Inc. CurrentSince Jul 21, 2017 Accepting new patients
North Country Healthcare, Inc. Past Accepting new patients
Southwest Utah Community Health Center Past Accepting new patients
Enterprise Valley Med Ctr Inc Past Accepting new patients

Locations

616 S River Rd
Ste 200
St George, UT 84790
Phone (435) 628-8944

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20544/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDFCAD
  • Direct secure messaging: thomas.bigham.1@16501.direct.athenahealth.com
  • Direct secure messaging: thomas.bigham@evmc.eclinicaldirectplus.com

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 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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1689642332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 NORTH 100 EAST",
            "address_2": "SUITE 101",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847703197",
            "telephone_number": "435-986-2565",
            "fax_number": "435-986-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 NORTH 100 EAST",
            "address_2": "SUITE 101",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847703197",
            "telephone_number": "435-986-2565",
            "fax_number": "435-986-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGHAM",
        "first_name": "THOMAS",
        "middle_name": "HOLLAND",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4097",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5333623-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689642332",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.