Brandon D Bloxham (NPI# 1932330263, PAC ID# 2163577164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1932330263 |
| PAC ID by PECOS | 2163577164 |
| Professional Enrollment ID | I20120814000647 |
| Full Name | Brandon D Bloxham |
| Organization Legal Name | TETON VALLEY HEALTH CARE INC |
| Address |
120 E Howard St Driggs ID 83422-5112 |
| Phone Number | 2083542383 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3870744956 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| 131313 | TETON VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 120 E Howard St, Driggs, ID 83422-5112 | 2083542383 | TETON VALLEY HEALTH CARE INC |
| Organization Legal Name | TETON VALLEY HEALTH CARE INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Haskell | Physician Assistant | Teton Valley Health Care Inc | 252 S Main St, Victor, ID 83455-0368 |
| Jeffrey V Rosenberg | Emergency Medicine | Teton Valley Health Care Inc | 120 E Howard St, Driggs, ID 83422-5112 |
| Maurice D Brown | Orthopedic Surgery | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Taylor K Nelson | Certified Registered Nurse Anesthetist (crna) | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| William Sheffield | Emergency Medicine | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Juanita Prissel | Internal Medicine | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Anne-marie Omalley Neuhaus | Nurse Practitioner | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| David A Saurman | Physician Assistant | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Blake Yerman | Emergency Medicine | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Jerry B Smedley | Emergency Medicine | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Street Address |
120 E HOWARD ST |
| City | DRIGGS |
| State | ID |
| Zip | 83422-5112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey V Rosenberg | Emergency Medicine | Teton Valley Health Care Inc | 120 E Howard St, Driggs, ID 83422-5112 |
| Nathan B Levanger | Family Practice | Teton Valley Health Care Inc | 120 E Howard St, Driggs, ID 83422-5112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott D Thomas | Family Practice | 852 Valley Centre Dr, Driggs, ID 83422-5005 | |
| Christine Marie Lundberg-bleffert | Physical Therapy | Eagle Orthopedic and Sports Physical Therapy, Pllc | 600 Valley Centre Dr, Driggs, ID 83422-5095 |
| Mackenzie Wilson Parkhill | Physical Therapy | Eagle Orthopedic and Sports Physical Therapy, Pllc | 600 Valley Centre Dr, Driggs, ID 83422-5095 |
| Michael Paul Bleffert | Physical Therapy | Eagle Orthopedic and Sports Physical Therapy, Pllc | 600 Valley Centre Dr, Driggs, ID 83422-5095 |
| Maurice D Brown | Orthopedic Surgery | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Taylor K Nelson | Certified Registered Nurse Anesthetist (crna) | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| William Sheffield | Emergency Medicine | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Juanita Prissel | Internal Medicine | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Anne-marie Omalley Neuhaus | Nurse Practitioner | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| David A Saurman | Physician Assistant | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Find all physicians in zip 83422 | |||
| City | DRIGGS |
| Zip Code | 83422 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DRIGGS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Brandon D Bloxham.
| 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.