Bedside Xray Service Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

BEDSIDE XRAY SERVICE INC

Practice address

9460 W Fairview Ave Ste 115
Boise, ID 83704-8184

Phone

(208) 489-6600

Fax

(208) 922-7439

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Carmen Underwood, RT

Title

Owner

Phone

(208) 489-6600

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1992860324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 N MUMBARTO AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837136009",
            "telephone_number": "208-489-6600",
            "fax_number": "208-922-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 W FAIRVIEW AVE STE 115",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048184",
            "telephone_number": "208-489-6600",
            "fax_number": "208-922-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDSIDE XRAY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-489-6600",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8A992",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002593800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010008741",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Tatiana Beckman, MSOT, OTR/L
• James Thomas Beckmann, M.D.
• Carol Bedard, CADC
• Bryan William Beddoes, LPC, SCHOOL PSYCH
• Carson J Bedke, LPC
• Amber Lyn Beebe, RDN
• Shawna Marie Beechinor, P.A.
• Beehive Academy LLC
• Donna L. Beeson, D.O.
• Shaalan Beg, MD

• All providers in Boise, ID
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.

Verify at the official NPI Registry.