NPIMap

Individual provider Active NPI

David R. Hulbert, M.D.

  • Family Medicine Physician
  • Eagle, ID
National Provider Identifier
1730313586
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME113067 Issued in FL
Practice address
1895 McGrath Rd
Eagle, ID 83616-6243
Phone
(208) 939-8200
Fax
(208) 939-8222
NPI assigned
May 8, 2009
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 ME113067 FL Primary

Addresses

Primary practice location

1895 McGrath Rd
Eagle, ID 83616-6243

Mailing address

PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500

Other practice location 1

625 SW 4th Ave
Gainesville, FL 32601-6430
Phone (352) 273-5139

Other identifiers 1

IdentifierTypeStateIssuer
005921700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000657 ID Practitioner - Family Practice 5496910309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Medical Group LLCGroup PAC ID 3971544685, 132 clinicians
Optimal Healthcare PLLCGroup PAC ID 5294215471, 2 clinicians

Practice addresses (Care Compare)

1895 McGrath Rd
Eagle, ID 83616-6243
Phone (208) 939-8200

323 E Riverside Dr
Suite 234
Eagle, ID 83616-6865
Phone (208) 514-3362

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Sep 30, 2012 Accepting new patients
Alliance Medical Group, LLC Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Optimal Healthcare PLLC Family Medicine CurrentSince Aug 29, 2025 Accepting new patients
Alliance Medical Group, LLC Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Alliance Medical Group, LLC Family Medicine Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

6052 W State St
Boise, ID 83703
Phone (208) 344-7799

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1895 McGrath Rd
Eagle, ID 83616
Phone (208) 939-8200

3101 E State St
Ste 1100
Eagle, ID 83616
Phone (208) 473-3500

323 E Riverside Dr
Ste 234
Eagle, ID 83616
Phone (208) 514-3362

10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690

Interoperability endpoints

  • Direct secure messaging: david.hulbert@phmg.eclinicaldirectplus.com
  • Direct secure messaging: dhulbert17193@direct.slhs.org

Organizations & group practices 5

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 9

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": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1730313586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191050",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191050",
            "telephone_number": "208-955-6500",
            "fax_number": "208-955-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 MCGRATH RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166243",
            "telephone_number": "208-939-8200",
            "fax_number": "208-939-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 SW 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326016430",
            "country_code": "US",
            "telephone_number": "352-273-5139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULBERT",
        "first_name": "DAVID",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-08",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME113067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005921700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

Verify at the official NPI Registry.