Bichle Thi Nguyen, D.O.
General Practice in Mountain Home Afb, ID. Individual provider (NPI-1).
NPI number1104350024
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1104350024
- Entity type
- Individual (NPI-1)
- Name
- Bichle Thi Nguyen
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2017
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 0102205386 | VA | Yes |
Practice location
90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1062
Phone 208-828-7401
Mailing address
90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1062
Phone 208-828-7401
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