NPIMap

Individual provider Active NPI

Bryan Basil Brimhall, M.D.

  • Gastroenterology Physician
  • Boise, ID
National Provider Identifier
1902195753
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M-14592 Issued in ID
Practice address
6259 W Emerald St
Boise, ID 83704-8731
Phone
(209) 489-1900
Fax
(208) 375-5286
NPI assigned
Apr 1, 2011
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X M-14592 ID Primary

Addresses

Primary practice location

6259 W Emerald St
Boise, ID 83704-8731

Mailing address

6259 W Emerald St
Boise, ID 83704-8731
Phone (209) 489-1900

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
I20190801003114 ID Practitioner - Gastroenterology 9133354228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Utah School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Clinic LLCGroup PAC ID 7315948874, 26 clinicians

Practice addresses (Care Compare)

6259 W Emerald St
Boise, ID 83704-8731
Phone (208) 489-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.42 of 100Reported as group
Quality
69.8
Promoting interoperability
98
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-14592IDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Endoscopy Center LLC CurrentSince Sep 1, 2019 Accepting new patients
Digestive Health Clinic LLC Gastroenterology CurrentSince Sep 1, 2019 Accepting new patients
Idaho Endoscopy Center LLC CurrentSince Sep 1, 2019 Accepting new patients
Digestive Health Clinic LLC Gastroenterology CurrentSince Sep 1, 2019 Accepting new patients

Locations

6259 W Emerald St
Boise, ID 83704
Phone (208) 489-1900

5080 E Commerce St
Nampa, ID 83687
Phone (208) 489-1900

Interoperability endpoints

  • Direct secure messaging: bbrimhall1564366@direct.trinity-health.org
  • Direct secure messaging: bryan.brimhallmd.p1@direct.digestivehlthclinic.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 10

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1902195753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6259 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048731",
            "telephone_number": "209-489-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6259 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048731",
            "telephone_number": "209-489-1900",
            "fax_number": "208-375-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMHALL",
        "first_name": "BRYAN",
        "middle_name": "BASIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ID",
            "license": "M-14592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.