BINGHAM HEALTHCARE SPECIALTY CLINIC - VALENCIA
NPI 1720574023
Family Medicine - Sports Medicine in Idaho Falls, ID

Active since July 10, 2018CLIA 13D2037889 · Waiver
3302 VALENCIA DR STE 201, IDAHO FALLS, ID 83404(208) 524-9400(208) 524-9401 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2024, Nov 15, 2023, Dec 18, 2019 and 4 more (7 updates tracked since 2018).

About Bingham Healthcare Specialty Clinic - Valencia NPPES

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

BINGHAM HEALTHCARE SPECIALTY CLINIC - VALENCIA (NPI 1720574023) is a healthcare organization registered as a sports medicine in Idaho Falls, Idaho and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through December 19, 2026, maintains 2 additional practice locations, and lists Jacob Erickson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720574023
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameBMH, INC.
Location Address3302 VALENCIA DR STE 201Idaho Falls, ID 83404-7070
Mailing Address98 Poplar StBlackfoot, ID 83221-1758 · (208) 782-3969 · Fax (208) 782-2984
Fax(208) 524-9401
Organization SubpartNo
Authorized OfficialJacob EricksonCeo · (208) 785-3801
Enumeration DateJuly 10, 2018
Last NPPES UpdateMay 9, 20247 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
NPI 1720574023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedUrologyTaxonomy 208800000X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
3302 VALENCIA DR STE 201, Idaho Falls, ID 83404

Other Names 1

Doing Business AsBingham Healthcare Specialty Clinic - Valencia

Secondary Practice Locations 2

Location 13302 Valencia Dr Ste 120Idaho Falls, ID 83404-7058 · Phone (208) 535-3635 · Fax (208) 535-3619
Location 23302 Valencia Dr Ste 120BIdaho Falls, ID 83404-7058 · Phone (208) 535-3635 · Fax (208) 535-3619

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2037889

Bingham Healthcare Specialty Clinic-Valencia · Idaho Falls, ID
Active · expires Dec 19, 2026
CLIA Number13D2037889
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorSye Speth
Laboratory Phone(208) 524-9400
Laboratory LocationBingham Healthcare Specialty Clinic-Valencia3302 Valencia Dr, Idaho Falls, ID 83404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Anesthesiology (Pain Medicine)
3302 VALENCIA DR STE 201
IDAHO FALLS, ID 83404
Family Medicine
3302 VALENCIA DR STE 201
IDAHO FALLS, ID 83404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720574023, enumerated as an "organization" on July 10, 2018.

The provider is located at 3302 VALENCIA DR STE 201 IDAHO FALLS, ID 83404 and the phone number is (208) 524-9400.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: University of Utah Health Plans. Please consult your insurance carrier or call the provider to verify.