Brady C Martin (NPI# 1477840239, PAC ID# 0648490573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1477840239 |
| PAC ID by PECOS | 0648490573 |
| Professional Enrollment ID | I20140927000436 |
| Full Name | Brady C Martin |
| Organization Legal Name | BMH INC |
| Address |
1595 Bannock Hwy Pocatello ID 83204-3509 |
| Phone Number | 2084782449 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8426149758 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131325 | BINGHAM MEMORIAL HOSPITAL |
| 130028 | PORTNEUF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 98 Poplar St, Blackfoot, ID 83221-1758 | 2087823993 | BMH INC |
| 1595 Bannock Hwy, Pocatello, ID 83204-3509 | 2084782449 | BMH INC |
| Organization Legal Name | BMH INC |
| Physicians | 93 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Sisul | Urology | Bmh Inc | 2302 E Terry St, Pocatello, ID 83201-2733 |
| Ryan B Longmore | Cardiovascular Disease (cardiology) | Bmh Inc | 1595 Bannock Hwy, Pocatello, ID 83204-3509 |
| Sharla Clark | Family Medicine | Bmh Inc | 4750 Yellowstone Ave, Pocatello, ID 83202-2336 |
| Dan E Robinson | Podiatry | Bmh Inc | 98 Poplar St, Blackfoot, ID 83221-1758 |
| William S Huneycutt | Neurosurgery | Bmh Inc | 1151 Hospital Way, Bldg D, Pocatello, ID 83201-5091 |
| Cynthia M Rice | Nurse Practitioner | Bmh Inc | 1553 E Ctr St, Pocatello, ID 83201-4135 |
| Richard Brown | Psychiatry | Bmh Inc | 98 Poplar St, Blackfoot, ID 83221-1758 |
| Kenneth T Blackner | General Practice | Bmh Inc | 98 Poplar St, Blackfoot, ID 83221-1758 |
| Bradly K Brown | Physician Assistant | Bmh Inc | 98 Poplar St, Blackfoot, ID 83221-1758 |
| Hugh S Selznick | Orthopedic Surgery | Bmh Inc | 98 Poplar St, Blackfoot, ID 83221-1758 |
| Street Address |
1595 BANNOCK HWY |
| City | POCATELLO |
| State | ID |
| Zip | 83204-3509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan B Longmore | Cardiovascular Disease (cardiology) | Bmh Inc | 1595 Bannock Hwy, Pocatello, ID 83204-3509 |
| Joseph D Sule | Urology | Bmh Inc | 1595 Bannock Hwy, Pocatello, ID 83204-3509 |
| Jennifer L Wistisen | Physician Assistant | Bmh Inc | 1595 Bannock Hwy, Pocatello, ID 83204-3509 |
| Robert T Gillespie | Physician Assistant | Bmh Inc | 1595 Bannock Hwy, Pocatello, ID 83204-3509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deric V Ravsten | Psychiatry | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Karl M Letko | Physician Assistant | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Kebai D Bills | Physician Assistant | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Steven L Ater | Psychologist, Clinical | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Stephanie A Clark | Nurse Practitioner | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Michael L Stevens | Clinical Social Worker | 109 N Arthur Ave, Suite 203, Pocatello, ID 83204-3105 | |
| Aaron L Schaerrer | Clinical Social Worker | Hope Tree Inc | 109 N Arthur Ave, Suite 203, Pocatello, ID 83204-3105 |
| Trent P Turner | Clinical Social Worker | Hope Tree Inc | 109 N Arthur Ave, Suite 203, Pocatello, ID 83204-3105 |
| Nancy Wheeler | Clinical Social Worker | Candlewood Family Counseling Center, Inc. | 335 N Main St, Pocatello, ID 83204-3108 |
| Angela K. Kelly | Clinical Social Worker | Candlewood Family Counseling Center, Inc. | 335 N Main St, Pocatello, ID 83204-3108 |
| Find all physicians in zip 83204 | |||
| City | POCATELLO |
| Zip Code | 83204 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | POCATELLO + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.