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

Q: What is Larry Bomsta's NPI number?

The NPI number for Larry Bomsta is 1114086048. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Larry Bomsta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Bomsta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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 December 06, 2006

467 WASHINGTON ST, MONTPELIER, ID 83254(208) 847-0072(208) 847-0077 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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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

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Other Identifiers 4

Medicare ID-Type Unspecified1122606

Other5549-1ID · Blue Cross Of Idaho

Medicare UPINE15054

Other000010004905ID · Blue Shield Of Idaho

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Bomsta's NPI number?

The NPI number for Larry Bomsta is 1114086048. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Larry Bomsta located?

Larry Bomsta practices at 467 Washington St, Montpelier, ID 83254. The listed phone number is (208) 847-0072.

What is Larry Bomsta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Larry Bomsta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.