Individual provider Active NPI

Scott Gregory Bird, DPM

  • Foot & Ankle Surgery Podiatrist
  • Boise, ID
National Provider Identifier
1992200331
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2961061 Issued in ID
Practice address
1075 N Curtis Rd Ste 300
Boise, ID 83706-1348
Phone
(208) 302-3100
Fax
(208) 302-3155
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 279 AR
Foot & Ankle Surgery Podiatrist 213ES0103X 2961061 ID Primary

Addresses

Primary practice location

1075 N Curtis Rd Ste 300
Boise, ID 83706-1348

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

5428 Ellsworth Rd Ste B
Fort Smith, AR 72903-3220
Phone (479) 573-7905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820000494 ID Practitioner - Podiatry 0244633246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1055 N Curtis
Boise, ID 83706-1309

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1075 N Curtis Rd
Boise, ID 83706-1348

3025 W Cherry LN
Meridian, ID 83642-8531

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue31
Removal of skin lesions1-10
Removal of nail tissue38
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
279ARMDPodiatrist
294ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services CurrentSince Sep 15, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Baptist Health Services Foot & Ankle Surgery CurrentSince Sep 15, 2021 Accepting new patients
Scripps Health Current Accepting new patients

Locations

5428 Ellsworth Rd
Ste A
Fort Smith, AR 72903
Phone (479) 709-7440

5428 Ellsworth Rd
Ste B
Fort Smith, AR 72903
Phone (479) 709-7337

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

4077 5th Ave
#35
San Diego, CA 92103
Phone (619) 260-7220

1075 N Curtis Rd
Ste 300
Boise, ID 83706
Phone (208) 323-2600

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

Interoperability endpoints

  • Direct secure messaging: sbird3616061@direct.trinity-health.org
  • Direct secure messaging: sbird78088@scrippshlth.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1992200331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 N CURTIS RD STE 300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061348",
            "telephone_number": "208-302-3100",
            "fax_number": "208-302-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5428 Ellsworth Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729033220",
            "country_code": "US",
            "telephone_number": "479-573-7905",
            "fax_number": "479-573-7906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRD",
        "first_name": "SCOTT",
        "middle_name": "GREGORY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "279",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "2961061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.