Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Todd Gillespie, PA

Individual provider Physician Assistant · NPI 1922026467

Robert Todd Gillespie, PA is a Physician Assistant in Malad City, Idaho. Qualified in 1997, 29 years ago. Practices with Bmh Inc, a 136-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
29
Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

220 Bannock St Ste B
Malad City, ID 83252-1256
Phone: (208) 766-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA205 (ID)

Record details

NPI number1922026467
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJune 10, 2011
Mailing addressPo Box 126, Suite B, Malad City, ID 83252-0126

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Bmh Inc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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