Jeffrey Gardner Hopkin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-6910 Issued in ID

Practice address

32 W 1St S
Rexburg, ID 83440-1810

Phone

(208) 356-8883

Fax

(208) 656-0292

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: General Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upper Valley Family Practice, PLLCGroup PAC ID 1759433675, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Upper Valley Family Practice, PLLC

  • Family Medicine Physician
  • Rexburg, ID
  • NPI 1922237874
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Madison Co Memorial Hospital

  dba Seasons Medical By Madison Memorial

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1073154266

  Hospital

  Care Compare affiliation
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1780797712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W 1ST S",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401810",
            "telephone_number": "208-356-8883",
            "fax_number": "208-656-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W 1ST S",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401810",
            "telephone_number": "208-356-8883",
            "fax_number": "208-656-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKIN",
        "first_name": "JEFFREY",
        "middle_name": "GARDNER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-6910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003732000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hoffmann Counseling
• David G Holland, NPC
• Jeanette Holmes
• Homestead Home Health & Hospice LLC
• Homestead Homecare
• Marie Horne, CNM
• William J Houlihan, CRNA
• Campbell Elizabeth Huber, RBT
• Stephen A Huber, LPC
• Teri Huchendorf

• Family Medicine Physician in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.

Verify at the official NPI Registry.