NOAH BERNAL (NPI# 1003461401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003461401 |
| Entity Type | Individual |
| Full Name | NOAH BERNAL |
| Practice Address |
3614 Washington Pkwy Idaho Falls ID 83404-7573 |
| Mailing Address |
6410 E Mansion Hill Dr Ammon ID 83406-4707 |
| Practice Telephone | 2085354343 |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
PA-1924 | ID | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3614 WASHINGTON PKWY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386743862 | David Dean Buys | Physician Assistant | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2006-09-21 |
| 1073032413 | Bmh Inc. | Pain Medicine | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2017-09-18 |
| 1235594177 | Melissa Ilene Kelly | Nurse Practitioner | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2015-12-18 |
| 1518369487 | K'lynda Snarr | Physician Assistant | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2014-09-22 |
| 1235568742 | Shelley Leilani Davis | Physician Assistant | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2013-11-05 |
| 1871823245 | Flint R Packer Do PC | Family Medicine | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2010-01-07 |
| 1780871392 | Boyd K Southwick | Family Medicine | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2007-09-27 |
| 1295921484 | Tyson Craig Parker | Physician Assistant | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2007-09-20 |
| 1033314273 | Family First Medical Center, Pllc | Family Medicine | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2007-06-18 |
| 1578613337 | Boyd K Southwick | Family Medicine | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063701217 | Sean D Anderson | Physical Medicine & Rehabilitation | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205384484 | Max Esposito | Physical Medicine & Rehabilitation | 1400 E Terry Dr, Pocatello, ID 83209-0001 | 2016-09-15 |
| 1760847438 | Elizabeth Aitken | Physical Medicine & Rehabilitation | 921 S 8th Ave # PCd4, Pocatello, ID 83209-0002 | 2015-12-23 |
| 1669490298 | Russ Mcaffee | Physical Medicine & Rehabilitation | 275 S. 5th Ave., Ste. 140, Pocatello, ID 83201 | 2006-07-18 |
| 1508344201 | Megan Frey | Physical Medicine & Rehabilitation | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2018-08-03 |
| 1992807085 | Robin Jackson Deleon | Physical Medicine & Rehabilitation | 500 W Fort St, Pm&r, Boise Va Medical Center, Boise, ID 83702-4501 | 2006-09-01 |
| City | IDAHO FALLS |
| Zip Code | 83404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.