BICHLE THI NGUYEN D.O.
NPI 1104350024
General Practice in Mountain Home Afb, ID

Q: What is Bichle Nguyen's NPI number?

The NPI number for Bichle Nguyen is 1104350024. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Q: What is Bichle Nguyen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Bichle Nguyen was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2017

90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648(208) 828-7401 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Oct 29, 2018, Apr 18, 2017 (3 updates tracked since 2017).

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About Bichle Thi Nguyen D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BICHLE THI NGUYEN D.O. (NPI 1104350024) is an individual general practice provider in Mountain Home Afb, Idaho, licensed in Virginia (0102205386) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1104350024

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameBICHLE THI NGUYENCredential: D.O.

Location Address90 HOPE DR BLDG 6000Mountain Home Afb, ID 83648-1062

Mailing Address90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1062 · (208) 828-7401

Phone(208) 828-7401

Sole ProprietorNo

Enumeration DateApril 18, 2017

Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1104350024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0102205386

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

90 HOPE DR BLDG 6000, Mountain Home Afb, ID 83648

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Other Identifiers 1

Other0102205386VA · Virginia Board Of Medicine

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON L WILSON LCSW

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