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BINGHAM MEMORIAL PHYSICIANS
NPI 1649460130
Family Medicine in Blackfoot, ID

Active since July 31, 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 Physicians NPPES

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

BINGHAM MEMORIAL PHYSICIANS (NPI 1649460130) is a healthcare organization registered as a family medicine in Blackfoot, Idaho and active in the NPI registry since July 2007. The organization lists Jacob Erickson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649460130
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBMH, INC.
Location Address98 POPLAR STBlackfoot, ID 83221-1758
Mailing Address98 Poplar StBlackfoot, ID 83221-1758 · (208) 785-4100
Phone(208) 785-4100
Organization SubpartNo
Authorized OfficialJacob EricksonCeo · (208) 785-3801
Enumeration DateJuly 31, 2007
Last NPPES UpdateDecember 16, 2019
✔ NPI 1649460130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
98 POPLAR ST, Blackfoot, ID 83221
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Other Names 1

Doing Business AsBingham Memorial Physicians

Other Identifiers 3

Other8N219ID · Blue Cross Grp
Medicaid002854200ID
Other8L535ID · Blue Cross Grp Old

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 Physicians 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 Physicians, 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 1649460130. It was assigned to this organization in the NPPES registry on July 31, 2007. The provider is doing business as Bingham Memorial Physicians.

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 Family Medicine with taxonomy code 207Q00000X.

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.