Active NPI
BMH, Inc
Doing business as Bingham Specialty Plaza
- Physical Medicine & Rehabilitation Physician
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- BMH, INC
- Doing business as
- Bingham Specialty Plaza
- Practice address
- 326 Poplar St
Blackfoot, ID 83221-1741 - Phone
- (208) 782-2444
- Fax
- (208) 785-3115
- NPI assigned
- Aug 25, 2015
- 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) 785-3801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
326 Poplar St
Blackfoot, ID 83221-1741
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Other names 1
- BINGHAM SPECIALTY PLAZA
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 14
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.
-
- Neurological Surgery Physician
- Idaho Falls, ID
- NPI 1780679126
-
- Family Nurse Practitioner
- Rexburg, ID
- NPI 1023417037
-
- Family Nurse Practitioner
- Blackfoot, ID
- NPI 1114712866
-
- Physician Assistant
- Blackfoot, ID
- NPI 1770002974
-
- Ophthalmology Physician
- Pocatello, ID
- NPI 1538594379
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Pocatello, ID
- NPI 1316059280
-
- Surgical Physician Assistant
- Pocatello, ID
- NPI 1720379597
-
- Family Nurse Practitioner
- Blackfoot, ID
- NPI 1174581425
-
- Internal Medicine Physician
- Blackfoot, ID
- NPI 1164785382
-
- Physician Assistant
- Blackfoot, ID
- NPI 1598136368
-
- Physician Assistant
- Las Vegas, NV
- NPI 1336505163
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1366602963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1992172993",
"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": "208-785-8529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211741",
"telephone_number": "208-782-2444",
"fax_number": "208-785-3115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BMH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-25",
"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": "208-785-3801"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BINGHAM SPECIALTY PLAZA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BINGHAM SPECIALTY PLAZA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Blackfoot, ID
- BMH Inc
- BMH Inc. (medical plaza pharmacy)
- BMH Inc. (Idaho Physicians Clinic)
- BMH Inc. (Bingham Memorial Skilled Nursing & Rehabilitation Center)
- BMH, Inc (Bingham Memorial Hospital)
- BMH, Inc. (Bingham Memorial Physicians & Surgeons Center)
- BMH, Inc. (Cedar Creek Family Medicine)
- BMH, Inc. (Bingham Memorial Women's Center)
- BMH, Inc. (Bingham Memorial Family Medicine)
- BMH, Inc. (Blackfoot Orthopedic Center)
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.