Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104350024 Individual Practitioner Female Practitioner

Dr. Bichle Thi Nguyen , DO

General Practice • Mountain Home Afb, ID

Professional Overview & Biography Verified Profile Summary

Dr. Bichle Nguyen, DO is a registered healthcare professional specializing in General Practice in Mountain Home Afb, ID. Practice services are available at 90 HOPE DR BLDG 6000 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

90 Hope Dr Bldg 6000

Mountain Home Afb, ID 836481062

Telephone 2088287401
Associated Practice Facility / Clinic
🏢 366th Medgrp-Mountain Home Facility NPI 1144636515

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Mountain Home Afb, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Mountain Home Afb, ID (37 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-24
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0102205386

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Virginia Board Of Medicine
0102205386 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Julian Little

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1447480686
Kathleen Lacasse , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1538802830
Dr. Matthew Brown , MD

Family Medicine

NPI 1578825501

Doctor of Medicine (M.D.)

Shelley Carter

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1649530924
Dathan Spinney , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1689985897
Dr. Dakota Freve , MD

Family Medicine

NPI 1811345374

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location September 15, 2023

Registered at 90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 836481062 (Tel: 2088287401)

📍
Updated Business Mailing Address September 15, 2023

Registered at 90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 836481062 (Tel: 2088287401)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2023

General Practice (License #0102205386 in VA)

📍
Updated Practice Location October 29, 2018

Registered at 300 TUSKEGEE BLVD, DOVER AFB, DE 199025003 (Tel: 3026776527)

📍
Updated Business Mailing Address October 29, 2018

Registered at 300 TUSKEGEE BLVD, DOVER AFB, DE 199025003 (Tel: 3026776527)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2018

Preventive Medicine (License #0102205386 in VA)

NPI Profile Active April 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2017

Registered at 3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 782344504 (Tel: 2102925077)

📍
Updated Business Mailing Address April 18, 2017

Registered at 3551 ROGER BROOKE DR, SAMMC,, JBSA FT SAM HOUSTON, TX 782344504 (Tel: 2102925077)

👤
Provider Name / Credentials Updated April 18, 2017

Recorded as BICHLE NGUYEN, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104350024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2017
Last Update: November 24, 2025
Sole Proprietor: No

Mailing Address

90 Hope Dr Bldg 6000

Mountain Home Afb, ID 836481062

Phone: 2088287401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.