Bryan Hammar, D.O.
Individual provider Active NPI Family Medicine Physician · Rigby, ID
NPI 1841219987 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1841219987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- O-213 (ID)
- Practice address
- 167 E 1St S
Rigby, ID 83442-1401 - Phone
- (208) 745-8747
- Fax
- (208) 745-9396
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Osteopathic Manipulative Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain View Hospital LLC
Practice addresses (Care Compare)
2305 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 522-1764
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700
2330 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-1234
2351 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 522-7310
2353 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-4823
2375 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-1234
Hospital & facility affiliations
- Aspen Home Health Services
- Advanced Home Health
- Eden Home Health -Idahofalls
- Enhabit Home Health of Eastern Idaho
- Solace Healthcare
- Mountain View Hospital
- Idaho Falls Community Hospital, LLC
- Eastern Idaho Regional Medical Center
- Madison Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040507000248 | ID | Practitioner - Osteopathic Manipulative Medicine |
8022007988 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-213 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care West Side LLC | Family Medicine | Current |
Accepting new patients |
| Mountain View Hospital LLC | Current |
Accepting new patients | |
| Community Care | Family Medicine | Current | Accepting new patients |
| Curators of the University of Missouri | Past | Accepting new patients | |
| Community Care, PLLC | Family Medicine | Past | Accepting new patients |
Locations
2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100
2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600
1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032
450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691
72 E Main St
Rexburg, ID 83440
Phone (208) 359-1770
404 N 2nd E
Rexburg, ID 83440
Phone (208) 359-1770
167 E 1st S
Rigby, ID 83442
Phone (208) 745-8747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | O-213 | ID | Yes |
Addresses
Primary practice location
167 E 1St S
Rigby, ID 83442-1401
Mailing address
167 E 1St S
Rigby, ID 83442-1401
Phone (208) 745-8747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O-213 | Other | ID | STATE LICENSE |
Other providers in Rigby, ID
- Kristi L Grigg
- Grow Developmental Disability Solutions Idaho
- Guidepost Holdings LLC
- Ryan Ole Hall
- Valerie Jean Hall
- Dwight Hansen
- Richard T Harper
- Tressa Marial Hartmann
- Jeff Hatch
- Varian Lamar Helm
All providers in Rigby, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.