DR. LARRY DAVID BOMSTA MD - NPI 1114086048 - Family Medicine in Montpelier, ID

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

On this page

About Dr. Larry David Bomsta Md NPPES

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

DR. LARRY DAVID BOMSTA MD (NPI 1114086048) is an individual family medicine provider in Montpelier, Idaho, licensed in Idaho (5549) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1114086048

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LARRY DAVID BOMSTACredential: MD

Location Address467 WASHINGTON STMontpelier, ID 83254-1544

Mailing Address467 Washington StMontpelier, ID 83254-1544 · (208) 847-0072 · Fax (208) 847-0077

Phone(208) 847-0072

Fax(208) 847-0077

Sole ProprietorYes

Enumeration DateDecember 6, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114086048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · 5549

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

467 WASHINGTON ST, Montpelier, ID 83254

Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified1122606

Other5549-1ID · Blue Cross Of Idaho

Medicare UPINE15054

Other000010004905ID · Blue Shield Of Idaho

Frequently Asked Questions

What is Larry Bomsta's NPI number?

The NPI number assigned to this healthcare provider is 1114086048, enumerated as an "individual" on December 06, 2006.

Where is the provider located?

The provider is located at 467 WASHINGTON ST MONTPELIER, ID 83254 and the phone number is (208) 847-0072.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Larry Bomsta accept?

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.