Active NPI
William Brad Speakman, D.O.
- Family Medicine Physician
- Malad City, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O-240
- Practice address
- 220 Bannock St
Malad City, ID 83252-5068 - Phone
- (208) 766-2600
- Fax
- (208) 766-4258
- NPI assigned
- Jun 21, 2006
- Last updated
- Jun 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | O-240 | ID | Primary |
Addresses
Primary practice location
220 Bannock St
Malad City, ID 83252-5068
Mailing address
220 Bannock St
Malad City, ID 83252-5068
Phone (208) 766-2600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehr-direct@oneidacountyclinic.hin.us | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BMH Inc
Practice addresses (Care Compare)
315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneida County Hospital | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Family Medicine | Current | Accepting new patients |
| Oneida County Hospital | Current | Accepting new patients | |
| Oneida County Hospital | Current | Accepting new patients | |
| Oneida County Hospital | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH Inc | Current | Accepting new patients | |
| Community Care, PLLC | Family Medicine | Past | Accepting new patients |
Locations
3456 E 17th St
Ste 125
Ammon, ID 83406
Phone (208) 529-2828
1350 Parkway Dr
Ste A
Blackfoot, ID 83221
1350 Parkway Dr
Ste B
Blackfoot, ID 83221
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
98 Poplar St
Fl 1
Blackfoot, ID 83221
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
3302 Valencia Dr
Ste 120
Idaho Falls, ID 83404
Phone (208) 535-3635
3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400
220 Bannock St
Malad City, ID 83252
Phone (208) 766-2231
4750 Yellowstone Ave
Pocatello, ID 83202
Phone (208) 240-3733
4750 Yellowstone Ave
Ste A
Pocatello, ID 83202
Phone (208) 233-1720
4750 Yellowstone Ave
Ste B
Pocatello, ID 83202
Phone (208) 232-8792
850 Yellowstone Ave
Ste A
Pocatello, ID 83201
Phone (208) 239-8065
850 Yellowstone Ave
Ste B
Pocatello, ID 83201
Phone (208) 239-8066
275 W Locust St
Ste A
Shelley, ID 83274
Interoperability endpoints
- williamspeakman@bmh.medalliesdirect.net
- wspeakman@bmh.medalliesdirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Bingham Memorial Hospital | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
May 23, 2023 Jan 30, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Bingham Memorial Skilled Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Blackfoot, ID
- NPI 1861694960
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 11
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.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Bingham Memorial Physicians & Surgeons Center
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
dba North Platte Valley Medical Center
- Critical Access Hospital
- Saratoga, WY
- NPI 1730899204
-
dba 1st Choice Urgent Care & Medical Center-Chubbuck
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
dba Bingham Healthcare Specialty Clinic - Valencia
- Sports Medicine (Family Medicine) Physician
- Idaho Falls, ID
- NPI 1720574023
-
dba Rural Health Clinic
- Rural Health Clinic/Center
- Malad City, ID
- NPI 1225276454
-
- Medicare Defined Swing Bed Hospital Unit
- Malad, ID
- NPI 1568414167
-
- Critical Access Hospital
- Malad, ID
- NPI 1609826270
-
- Rural Health Clinic/Center
- Malad City, ID
- NPI 1710041785
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1003088782
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Bingham Memorial Skilled Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Blackfoot, ID
- NPI 1861694960
Nursing home
-
dba North Platte Valley Medical Center
- Critical Access Hospital
- Saratoga, WY
- NPI 1730899204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1821034562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 BANNOCK ST",
"city": "MALAD CITY",
"state": "ID",
"postal_code": "832525068",
"telephone_number": "208-766-2600",
"fax_number": "208-766-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 BANNOCK ST",
"city": "MALAD CITY",
"state": "ID",
"postal_code": "832525068",
"telephone_number": "208-766-2600",
"fax_number": "208-766-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAKMAN",
"first_name": "WILLIAM",
"middle_name": "BRAD",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "O-240",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ehr-direct@oneidacountyclinic.hin.us",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "220 BANNOCK ST",
"city": "MALAD CITY",
"state": "ID",
"country_code": "US",
"postal_code": "832525068",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Malad City, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.