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SPECIALIZED FAMILY MEDICINE
NPI 1124197702
Family Medicine in Pocatello, ID

Active since November 07, 2006
151 N 4TH AVE, SUITE B, POCATELLO, ID 83201(208) 369-7147(208) 416-6522 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Specialized Family Medicine NPPES

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

SPECIALIZED FAMILY MEDICINE (NPI 1124197702) is a healthcare organization registered as a family medicine in Pocatello, Idaho and active in the NPI registry since November 2006. The organization lists Jordan L Bailey, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1124197702
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPECIALIZED FAMILY MEDICINE
Location Address151 N 4TH AVE, SUITE BPocatello, ID 83201-6300
Mailing Address151 N 4th Ave, Suite BPocatello, ID 83201-6300 · (208) 369-7147 · Fax (208) 416-6522
Phone(208) 369-7147
Fax(208) 416-6522
Organization SubpartNo
Authorized OfficialJordan L BaileyPhysician Owner · (208) 269-7147
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1124197702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
151 N 4TH AVE, Pocatello, ID 83201
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Other Identifiers 2

Medicaid806364600ID
Other8F991ID · Blue Cross

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 6

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

CODY E PATTERSON DO
Family Medicine
151 N 4TH AVE
POCATELLO, ID 83201
Bannock County (208) 269-7147
JORDAN LYLE BAILEY M.D.
Family Medicine
151 N 4TH AVE, SUITE B
POCATELLO, ID 83201
Bannock County (208) 269-7147
DR. ASPIN B RHOADES DC
Chiropractor
151 N 4TH AVE, STE A
POCATELLO, ID 83201
Bannock County (208) 637-2225
CAMILLE R BLOXHAM MASSAGE THERAPIST
Massage Therapist
151 N 4TH AVE
POCATELLO, ID 83201
Bannock County (208) 637-2225
DR. JEFFREY MAX WILLIAMS DC
Chiropractor
151 N 4TH AVE, STE A
POCATELLO, ID 83201
Bannock County (208) 637-2225
J GORRICETA PLLC
Clinic/Center (Physical Therapy)
151 N 4TH AVE, STE A
POCATELLO, ID 83201
Bannock County (208) 534-8330

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 Specialized Family Medicine's NPI number?

The NPI number for Specialized Family Medicine is 1124197702. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Specialized Family Medicine located?

Specialized Family Medicine is located at 151 N 4th Ave Suite B, Pocatello, ID 83201. The listed phone number is (208) 369-7147.

What is Specialized Family Medicine'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 Specialized Family Medicine was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.