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DR. GORDON SCOTT BONTRAGER MD NPI 1780919829


NPI Information

NPI: 1780919829
Provider Name: DR. GORDON SCOTT BONTRAGER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: HEALTH WEST INC

PECOS Registration: Yes

Address:
465 MEMORIAL DR
POCATELLO, ID
ZIP 83201
Phone: (208) 234-4700
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DR. Gordon Scott Bontrager, MD is a family medicine in Pocatello, ID with 6 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Gordon Scott Bontrager, MD NPI is 1780919829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

465 MEMORIAL DR
POCATELLO, ID
ZIP 83201
Phone: (208) 234-4700
Fax: (208) 282-4696

The NPI 1780919829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/7/2009 and was last updated on 6/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMRM-1734IDAHOYes
2363A00000XPhysician Assistant2119TENNESSEENo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MRM-1734OTHERIDAHOIDAHO BOARD OF MEDICINE - RESIDENCY
215285357MEDICAIDTENNESSEE
3P01478459OTHERTENNESSEERAIDROAD MEDICARE
4PA-2119OTHERIDAHOIDAHO BOARD OF MEDICINE - PA
51780919829MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.