BRADLEY L RHINEHART OD PA
NPI 1700063567
Optometrist in Idaho Falls, ID
About Bradley L Rhinehart Od Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY L RHINEHART OD PA (NPI 1700063567) is a healthcare organization registered as an optometrist in Idaho Falls, Idaho and active in the NPI registry since January 2008. The organization lists Bradley L Rhinehart, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bradley L Rhinehart Od Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bradley L Rhinehart Od PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Bradley L Rhinehart Od PA's NPI number?
The NPI number for Bradley L Rhinehart Od PA is 1700063567. It was assigned to this organization in the NPPES registry on January 23, 2008.
Where is Bradley L Rhinehart Od PA located?
Bradley L Rhinehart Od PA is located at 700 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 522-2839.
What is Bradley L Rhinehart Od PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Bradley L Rhinehart Od PA enrolled in Medicare?
Yes. Bradley L Rhinehart Od PA is registered in the Medicare PECOS enrollment system.
When is Bradley L Rhinehart Od PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bradley L Rhinehart Od PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Bradley L Rhinehart Od PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bradley L Rhinehart Od PA was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Bradley L Rhinehart Od Pa · NPI 1700063567
Optometrist organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since January 23, 2008.
## Identity
- **NPI:** 1700063567 (Entity type: Organization)
- **Enumerated:** January 23, 2008
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Bradley Rhinehart, OWNER
## Practice location
- **Address:** 700 E 17TH ST, Idaho Falls, ID 83404-6152
- **Phone:** (208) 522-2839
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1700063567) · Data from the CMS NPPES public registry.