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Bryan Bumgarner, LCSW
NPI 1053646414 · Clinical Social Worker · Boise, ID
Bryan Bumgarner, LCSW is a Clinical Social Worker provider in Boise, ID (NPI 1053646414).
Provider details
- NPI number
- 1053646414
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 30983 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 W Fort St
B-114
Boise, ID 83702-4501
Phone: (208) 422-1000
Fax: (208) 422-1241
Street-level locationGet directions
Mailing address
500 W Fort St
Boise, ID 83702-4501
Registry dates
- Enumerated
- 2009-10-02
- Last updated
- 2023-01-11
- Certified
- 2023-01-11
Frequently asked questions
- What is Bryan Bumgarner's NPI number?
- Bryan Bumgarner's National Provider Identifier (NPI) is 1053646414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Bumgarner's specialty?
- Bryan Bumgarner is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Bryan Bumgarner located?
- Bryan Bumgarner's practice location on file with NPPES is 500 W Fort St, Boise, ID 83702-4501.
- What is Bryan Bumgarner's phone number?
- The practice phone number listed in the NPPES registry for Bryan Bumgarner is (208) 422-1000.
- Is Bryan Bumgarner's NPI active?
- Yes — Bryan Bumgarner's NPI (1053646414) is active in the NPPES registry as of the last update on 2023-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.