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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRANDY M BATES LLC
NPI 1184573032
Family Medicine - Geriatric Medicine in Pocatello, ID

Active since January 23, 2026
2434 S FAIRWAY DR, POCATELLO, ID 83201(208) 851-9151(208) 977-0029 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2026, Jan 23, 2026 (2 updates tracked since 2026).

About Brandy M Bates Llc NPPES

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

BRANDY M BATES LLC (NPI 1184573032) is a healthcare organization registered as a geriatric medicine in Pocatello, Idaho and active in the NPI registry since January 2026. The organization lists Brandy M Bates, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1184573032
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameBRANDY M BATES LLC
Location Address2434 S FAIRWAY DRPocatello, ID 83201-2372
Mailing Address2434 S Fairway DrPocatello, ID 83201-2372 · (208) 851-9151 · Fax (208) 977-0029
Phone(208) 851-9151
Fax(208) 977-0029
Organization SubpartNo
Authorized OfficialBrandy M BatesOwner/provider · (208) 851-9151
Enumeration DateJanuary 23, 2026
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1184573032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
2434 S FAIRWAY DR, Pocatello, ID 83201
Open in Google Maps ↗

Other Identifiers 1

Medicaid601809507ID

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

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

BRANDY M BATES PA-C
Physician Assistant (Medical)
2434 S FAIRWAY DR
POCATELLO, ID 83201
Bannock County (208) 851-9151

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 Brandy M Bates LLC's NPI number?

The NPI number for Brandy M Bates LLC is 1184573032. It was assigned to this organization in the NPPES registry on January 23, 2026.

Where is Brandy M Bates LLC located?

Brandy M Bates LLC is located at 2434 S Fairway Dr, Pocatello, ID 83201. The listed phone number is (208) 851-9151.

What is Brandy M Bates LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Brandy M Bates LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.