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TABLE ROCK MOBILE MEDICINE PLLC
NPI 1194186437
Nurse Practitioner - Family in Meridian, ID

Active since March 15, 2016
3090 E GENTRY WAY STE 210, MERIDIAN, ID 83642(986) 224-8420(844) 268-7286 Get Directions Write a Review

NPPES record last updated: May 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 11, 2024, Mar 15, 2016 (2 updates tracked since 2016).

About Table Rock Mobile Medicine Pllc NPPES

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

TABLE ROCK MOBILE MEDICINE PLLC (NPI 1194186437) is a healthcare organization registered as a family in Meridian, Idaho and active in the NPI registry since March 2016. The organization lists Bradley Bigford, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1194186437
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTABLE ROCK MOBILE MEDICINE PLLC
Location Address3090 E GENTRY WAY STE 210Meridian, ID 83642-3550
Mailing AddressPo Box 44953Boise, ID 83711-0953 · (986) 224-8424 · Fax (208) 504-2821
Phone(986) 224-8420
Fax(844) 268-7286
Organization SubpartNo
Authorized OfficialBradley BigfordSole Member · (986) 224-8420
Enumeration DateMarch 15, 2016
Last NPPES UpdateMay 11, 20242 updates tracked since enumeration
NPPES CertifiedMay 11, 2024
✔ NPI 1194186437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · NP-1252A
3090 E GENTRY WAY STE 210, Meridian, ID 83642
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

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

JARRELL PLASTIC SURGERY
Surgery (Plastic and Reconstructive Surgery)
3090 E GENTRY WAY STE 210
MERIDIAN, ID 83642
Ada County (208) 810-2245
MR. BRADLEY ALEXANDER BIGFORD NP-C
Nurse Practitioner (Family)
3090 E GENTRY WAY STE 210
MERIDIAN, ID 83642
Ada County (986) 224-8280

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 Table Rock Mobile Medicine PLLC's NPI number?

The NPI number for Table Rock Mobile Medicine PLLC is 1194186437. It was assigned to this organization in the NPPES registry on March 15, 2016.

Where is Table Rock Mobile Medicine PLLC located?

Table Rock Mobile Medicine PLLC is located at 3090 E Gentry Way Ste 210, Meridian, ID 83642. The listed phone number is (986) 224-8420.

What is Table Rock Mobile Medicine PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Table Rock Mobile Medicine PLLC accept?

Health plans from Moda Health Plan, Inc. list Table Rock Mobile Medicine PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Table Rock Mobile Medicine PLLC was last updated on May 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.