1. Home
  2. Directory
  3. Idaho
  4. Blackfoot
  5. Surgery
  6. NPI Profile

BINGHAM MEMORIAL SPECIALISTS
NPI 1164611430
Surgery in Blackfoot, ID

Active since October 23, 2007
98 POPLAR ST, BLACKFOOT, ID 83221(208) 785-4100 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bingham Memorial Specialists NPPES

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

BINGHAM MEMORIAL SPECIALISTS (NPI 1164611430) is a healthcare organization registered as a surgery in Blackfoot, Idaho and active in the NPI registry since October 2007. The organization lists Jacob Erickson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164611430
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBMH INC
Location Address98 POPLAR STBlackfoot, ID 83221-1758
Mailing Address98 Poplar StBlackfoot, ID 83221-1758
Phone(208) 785-4100
Organization SubpartYes
Authorized OfficialJacob EricksonCeo · (208) 785-3801
Enumeration DateOctober 23, 2007
Last NPPES UpdateDecember 16, 2019
✔ NPI 1164611430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
98 POPLAR ST, Blackfoot, ID 83221
Open in Google Maps ↗

Other Names 1

Doing Business AsBingham Memorial Specialists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bingham Memorial Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

158

Medicare enrollment records show 158 clinicians reassign Medicare billing to Bingham Memorial Specialists, which bills Medicare for the services they deliver. Of these, 33 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Nurse Practitioner33
Family Practice16
Obstetrics/Gynecology14
Emergency Medicine13
Internal Medicine9
Orthopedic Surgery8
General Surgery6
Pain Management6
28 other specialties53

Nearest to this location (20)

See all 158
Shandra Averett, FNP-C
Nurse Practitioner
NPI 1720580848
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ PECOS✔ Accepts MedicareSame address
Shad Bateman, DO
Family Practice
NPI 1104478007
98 POPLAR ST
Blackfoot, ID 83221
(208) 782-2980
✔ PECOS✔ Accepts MedicareSame address
Jason Bell, D.O.
Endocrinology
NPI 1033376983
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-5801
✔ PECOS✔ Accepts MedicareSame address
Lynette Brown, M.D., PH.D.
Pulmonary Disease
NPI 1902943988
98 POPLAR ST
Blackfoot, ID 83221
(208) 643-9800
✔ PECOS✔ Accepts MedicareSame address
Chelsee Campbell
Nurse Practitioner
NPI 1114712866
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ PECOS✔ Accepts MedicareSame address
Jacob Clawson, MD
Pathology
NPI 1497917728
98 POPLAR ST
Blackfoot, ID 83221
(208) 782-2475
✔ PECOS✔ Accepts MedicareSame address
Ryan Finn, DO
Pain Management
NPI 1326466616
98 POPLAR ST
Blackfoot, ID 83221
(208) 239-5802
✔ PECOS✔ Accepts MedicareSame address
Robert Grondel, M.D.
Orthopedic Surgery
NPI 1124037650
98 POPLAR ST
Blackfoot, ID 83221
(208) 273-7700
✔ PECOS✔ Accepts MedicareSame address
Stanley Grover, D.O.
Emergency Medicine
NPI 1285016311
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ PECOS✔ Accepts MedicareSame address
Jerilyn Harrington, LCSW
Clinical Social Worker
NPI 1366730012
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ PECOS✔ Accepts MedicareSame address
Landon Hillebrant, MD
Family Practice
NPI 1396438396
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ PECOS✔ Accepts MedicareSame address
Anita Kadikar, MD
Pulmonary Disease
NPI 1972500288
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ PECOS✔ Accepts MedicareSame address
Taras Kindrat, MD
Obstetrics/Gynecology
NPI 1326205980
98 POPLAR ST
Blackfoot, ID 83221
(208) 221-4531
✔ PECOS✔ Accepts MedicareSame address
Shawn Ostler, M.D.
Emergency Medicine
NPI 1932468337
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ PECOS✔ Accepts MedicareSame address
Jason Reid, M.D.
Internal Medicine
NPI 1962727834
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ PECOS✔ Accepts MedicareSame address
Dean Shandy, D.O.
Psychiatry
NPI 1356786198
98 POPLAR ST
Blackfoot, ID 83221
(208) 782-2991
✔ PECOS✔ Accepts MedicareSame address
David Shelley, MD
Interventional Radiology
NPI 1386685535
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ PECOS✔ Accepts MedicareSame address
Matthew Ward, MD
General Surgery
NPI 1255968913
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ PECOS✔ Accepts MedicareSame address
Dan Robinson, D.P.M.
Podiatry
NPI 1013139898
98 POPLAR ST
Blackfoot, ID 83221
(208) 690-0394
✔ PECOS✔ Accepts MedicareSame address
Lauren Anderson, M.D.
Otolaryngology
NPI 1073785945
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-3800
✔ PECOS✔ Accepts MedicareSame address
See all 158 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bmh Inc's NPI number?

The NPI number for Bmh Inc is 1164611430. It was assigned to this organization in the NPPES registry on October 23, 2007. The provider is doing business as Bingham Memorial Specialists.

Where is Bmh Inc located?

Bmh Inc is located at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 785-4100.

What is Bmh Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Bmh Inc enrolled in Medicare?

Yes. Bmh Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bmh Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 158 clinicians in 36 Medicare specialties reassign their Medicare billing to Bmh Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (33), Family Practice (16) and Obstetrics/Gynecology (14). Of these, 33 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bmh Inc was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.