Active NPI
BMH, Inc.
Doing business as Bingham Memorial Specialty Clinic - Poplar
- Nephrology Physician
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- BMH, INC.
- Doing business as
- Bingham Memorial Specialty Clinic - Poplar
- Practice address
- 235 Poplar St
Blackfoot, ID 83221 - Phone
- (208) 785-3828
- Fax
- (208) 785-9428
- NPI assigned
- Mar 3, 2017
- 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) 785-4100
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ID | ||
| Nephrology Physician | 207RN0300X | ID | Primary | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ID |
Addresses
Primary practice location
235 Poplar St
Blackfoot, ID 83221
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Other names 1
- BINGHAM MEMORIAL SPECIALTY CLINIC - POPLAR
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 Directory- Tax ID family
- BMH Inc
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bingham Memorial Extended Care Facility
- Skilled Nursing Facility
- Blackfoot, ID
- NPI 1992785307
-
dba Physicians and Surgeons of Shelley
- Rural Health Clinic/Center
- Shelley, ID
- NPI 1366630949
-
- Medicare Defined Swing Bed Hospital Unit
- Blackfoot, ID
- NPI 1689876781
-
- Critical Access Hospital
- Pocatello, ID
- NPI 1972412021
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Bingham Memorial Specialist of Idaho Falls
- Pain Medicine Physician
- Idaho Falls, ID
- NPI 1073032413
-
dba Idaho Orthopaedic & Sports Clinic, P.A.
- Sports Medicine (Orthopaedic Surgery) Physician
- Pocatello, ID
- NPI 1114445087
-
dba 1st Choice Urgent Care Bannock Highway
- Multi-Specialty Clinic/Center
- Pocatello, ID
- NPI 1548727571
-
dba Pocatello Women's Health Clinic
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1659887511
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Blackfoot, ID
- NPI 1073785945
-
- Family Medicine Physician
- Blackfoot, ID
- NPI 1104478007
-
- Family Medicine Physician
- Blackfoot, ID
- NPI 1457300279
-
- Neurology Physician
- Idaho Falls, ID
- NPI 1689664724
-
- Emergency Medicine Physician
- Blackfoot, ID
- NPI 1285016311
-
- Cardiovascular Disease Physician
- Idaho Falls, ID
- NPI 1477553139
-
- Orthopaedic Surgery Physician
- Pocatello, ID
- NPI 1073877213
-
- Family Nurse Practitioner
- Pocatello, ID
- NPI 1013270792
-
- Pediatrics Physician
- Rexburg, ID
- NPI 1558348649
-
- Child & Adolescent Psychiatry Physician
- Blackfoot, ID
- NPI 1356786198
-
- Dermatology Physician
- Blackfoot, ID
- NPI 1902952930
-
- Interventional Pain Medicine Physician
- Salt Lake City, UT
- NPI 1720173164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1801336276",
"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",
"fax_number": "208-782-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "83221",
"telephone_number": "208-785-3828",
"fax_number": "208-785-9428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BMH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-03",
"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": "208-785-4100"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "ID",
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "ID",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BINGHAM MEMORIAL SPECIALTY CLINIC - POPLAR",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BINGHAM MEMORIAL SPECIALTY CLINIC - POPLAR",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Blackfoot, ID
- 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 Physicians)
- BMH, Inc. (Mountain River Medical Associates)
- Brian Don Boehme
- Kerry Lynn Bowman, MS, CCC-SLP
- Bridges of Hope Psychiatry
- Brooke Brown, APRN-CNP
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.