BEAR LAKE MEMORIAL PART B
NPI 1376871749
Orthopaedic Surgery in Montpelier, ID

Active since November 24, 2009
164 S 5TH ST, MONTPELIER, ID 83254(208) 847-4354(208) 847-2201 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bear Lake Memorial Part B NPPES

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

BEAR LAKE MEMORIAL PART B (NPI 1376871749) is a healthcare organization registered as an orthopaedic surgery in Montpelier, Idaho and active in the NPI registry since November 2009. The organization lists Rod Jacobson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376871749
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameBEAR LAKE COUNTY MEMORIAL HOSPITAL
Location Address164 S 5TH STMontpelier, ID 83254-1557
Mailing Address164 S 5th StMontpelier, ID 83254-1557 · (208) 847-4354 · Fax (208) 847-2201
Fax(208) 847-2201
Organization SubpartNo
Authorized OfficialRod JacobsonCeo · (208) 847-1630
Enumeration DateNovember 24, 2009
Last NPPES UpdateJanuary 19, 2011
✔ NPI 1376871749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
164 S 5TH ST, Montpelier, ID 83254

Other Names 1

Other NameBear Lake Memorial Part B

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bear Lake Memorial Part B is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Bear Lake Memorial Part B, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Family Practice9
Nurse Practitioner5
Orthopedic Surgery3
Certified Registered Nurse Anesthetist (CRNA)2
General Surgery2
Nephrology2
Obstetrics/Gynecology2
Cardiovascular Disease (Cardiology)1
6 other specialties6

Nearest to this location (20)

See all 32
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457741167
164 S 5TH ST
Montpelier, ID 83254
(208) 847-1630
Same address
Family Practice
NPI 1982018123
166 S 5TH ST
Montpelier, ID 83254
(208) 847-1110
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609504356
164 S 5TH ST
Montpelier, ID 83254
(208) 847-1630
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1447516984
455 WASHINGTON ST
Montpelier, ID 83254
(208) 847-4464
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1891960233
465 WASHINGTON ST
Montpelier, ID 83254
(208) 847-4495
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1861620262
465 WASHINGTON ST
Montpelier, ID 83254
(208) 847-4495
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1295891844
455 WASHINGTON ST STE 2
Montpelier, ID 83254
(208) 847-4464
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1013623529
164 S 5TH ST
Montpelier, ID 83254
(208) 847-1630
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1891086377
164 S 5TH ST
Montpelier, ID 83254
(208) 847-1110
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1609498336
164 S 5TH ST
Montpelier, ID 83254
(208) 514-2529
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1033837893
166 S 5TH ST
Montpelier, ID 83254
(208) 847-3847
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1366677759
166 S 5TH ST
Montpelier, ID 83254
(208) 847-1110
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1134655756
288 S PARADISE PKWY # 154
Garden City, UT 84028
(435) 255-1630
✔ PECOS✔ Accepts Medicare26 mi
General Surgery
NPI 1013079524
110 HOSPITAL LN
Afton, WY 83110
(307) 885-5852
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1134417843
220 BANNOCK ST
Malad City, ID 83252
(208) 766-2231
✔ PECOS✔ Accepts Medicare50 mi
Cardiovascular Disease (Cardiology)
NPI 1285884213
777 HOSPITAL WAY # 101
Pocatello, ID 83201
(208) 234-2001
✔ PECOS✔ Accepts Medicare69 mi
Nephrology
NPI 1881635845
4345 HARRISON BLVD STE 101
Ogden, UT 84403
(385) 350-8500
✔ PECOS✔ Accepts Medicare85 mi
Nephrology
NPI 1194915561
2132 N 1700 W SUITE 110
Layton, UT 84041
(801) 779-3500
✔ PECOS✔ Accepts Medicare92 mi
Urology
NPI 1851314066
1551 RENAISSANCE TOWNE DR SUITE 370
Bountiful, UT 84010
(801) 965-3600
✔ PECOS✔ Accepts Medicare104 mi
Internal Medicine
NPI 1558348649
100 SHC
Rexburg, ID 83460
(208) 496-1300
✔ PECOS✔ Accepts Medicare106 mi
See all 32 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 Bear Lake County Memorial Hospital's NPI number?

The NPI number for Bear Lake County Memorial Hospital is 1376871749. It was assigned to this organization in the NPPES registry on November 24, 2009. The provider is also known as Bear Lake Memorial Part B.

Where is Bear Lake County Memorial Hospital located?

Bear Lake County Memorial Hospital is located at 164 S 5th St, Montpelier, ID 83254. The listed phone number is (208) 847-4354.

What is Bear Lake County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Bear Lake County Memorial Hospital enrolled in Medicare?

Yes. Bear Lake County Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bear Lake County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 14 Medicare specialties reassign their Medicare billing to Bear Lake County Memorial Hospital. 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 Family Practice (9), Nurse Practitioner (5) and Orthopedic Surgery (3). Of these, 3 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bear Lake County Memorial Hospital accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Bear Lake County Memorial Hospital 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 Bear Lake County Memorial Hospital was last updated on January 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.