NORTHRIDGE INTERNAL MEDICINE, PLLC
NPI 1033394713
Internal Medicine in Rexburg, ID

Active since December 31, 2007
36 PROFESSIONAL PLZ, STE-102, REXBURG, ID 83440(208) 656-8456(208) 656-8444 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northridge Internal Medicine, Pllc NPPES

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

NORTHRIDGE INTERNAL MEDICINE, PLLC (NPI 1033394713) is a healthcare organization registered as an internal medicine in Rexburg, Idaho and active in the NPI registry since December 2007. The organization lists Rodney Bates, Member, as its authorized official.

NPPES Registry Identity

NPI1033394713
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHRIDGE INTERNAL MEDICINE, PLLC
Location Address36 PROFESSIONAL PLZ, STE-102Rexburg, ID 83440-2049
Mailing Address36 Professional Plz, Ste-102Rexburg, ID 83440-2049 · (208) 656-8456 · Fax (208) 656-8444
Fax(208) 656-8444
Organization SubpartNo
Authorized OfficialRodney BatesMember · (208) 656-8456
Enumeration DateDecember 31, 2007
Last NPPES UpdateFebruary 11, 2008
NPI 1033394713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in ID · O0359
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
36 PROFESSIONAL PLZ, Rexburg, ID 83440

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Physician Assistant (Medical)
36 PROFESSIONAL PLZ, SUITE #102
REXBURG, ID 83440
Dentist (Orthodontics and Dentofacial Orthopedics)
36 PROFESSIONAL PLZ, SUITE 200
REXBURG, ID 83440
Dentist (Orthodontics and Dentofacial Orthopedics)
36 PROFESSIONAL PLZ, SUITE 200
REXBURG, ID 83440
Physical Therapist
36 PROFESSIONAL PLZ, STE 110
REXBURG, ID 83440
Obstetrics & Gynecology
36 PROFESSIONAL PLZ
REXBURG, ID 83440
Internal Medicine
36 PROFESSIONAL PLZ
REXBURG, ID 83440
Physical Therapist
36 PROFESSIONAL PLZ
REXBURG, ID 83440
Nurse Anesthetist, Certified Registered
36 PROFESSIONAL PLZ, SUITE 100
REXBURG, ID 83440

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 Northridge Internal Medicine, PLLC's NPI number?

The NPI number for Northridge Internal Medicine, PLLC is 1033394713. It was assigned to this organization in the NPPES registry on December 31, 2007.

Where is Northridge Internal Medicine, PLLC located?

Northridge Internal Medicine, PLLC is located at 36 Professional Plz Ste-102, Rexburg, ID 83440. The listed phone number is (208) 656-8456.

What is Northridge Internal Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Northridge Internal Medicine, PLLC was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.