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B.R. BOEHMER M.D., P.A.

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Company Details

Name: B.R. BOEHMER M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 13 Dec 1999 (26 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 402113
Place of Formation: IDAHO
File Number: 402113
ZIP code: 83318
County: Cassia County
Mailing Address: 1335 ALBION AVE BURLEY, ID 83318-1817

Agent

Name Role Address
B R BOEHMER MD Agent 1335 ALBION AVE, BURLEY, ID 83318

President

Name Role Address Appointed On
Bernie Boehmer President 1335 ALBION AVE, BURLEY, ID 83318-1895 2020-11-09

Secretary

Name Role Address Appointed On Resigned On
Bernie Boehmer Secretary 1225 SYLVAN CIRCLE, BURLEY, ID 83318-1895 2023-11-06 2023-11-06

National Provider Identifier

NPI Number:
1447565627

Authorized Person:

Name:
DR. BERNARD R BOEHMER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
820516695
Plan Year:
2024
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005960369 2024-11-04
Annual Report 0005465472 2023-11-06
Annual Report 0004986041 2022-11-08
Annual Report 0004486542 2021-11-04
Annual Report 0004062941 2020-11-09

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$50,000
Date Approved:
2020-04-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$44,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$44,955.97
Servicing Lender:
First Federal Savings Bank of Twin Falls
Use of Proceeds:
Payroll: $44,500

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State