KATELYN BERCAW DO
NPI 1013853597
Family Medicine in Pocatello, ID

Active since April 27, 2026
465 MEMORIAL DR, POCATELLO, ID 83201(208) 232-7862 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn Bercaw Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN BERCAW DO (NPI 1013853597) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (2681508) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1013853597
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATELYN BERCAWCredential: DO
Location Address465 MEMORIAL DRPocatello, ID 83201-4008
Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880 · (208) 232-7862
Sole ProprietorYes
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
NPI 1013853597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · 2681508
Definition
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.
465 MEMORIAL DR, Pocatello, ID 83201

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacotherapy)
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist (General Practice)
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Pharmacist (Pharmacotherapy)
465 MEMORIAL DR
POCATELLO, ID 83201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Bercaw's NPI number?

The NPI number for Katelyn Bercaw is 1013853597. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Katelyn Bercaw located?

Katelyn Bercaw practices at 465 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 232-7862.

What is Katelyn Bercaw's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Katelyn Bercaw was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.