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MR. BRYAN CESAR FREGOSO
NPI 1447138094
Counselor - School in Pocatello, ID

Active since August 22, 2025PECOS Enrolled
921 S 8TH AVE, POCATELLO, ID 83209(208) 932-5251 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Bryan Cesar Fregoso NPPES

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

MR. BRYAN CESAR FREGOSO (NPI 1447138094) is an individual school provider in Pocatello, Idaho and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1447138094
Entity TypeIndividualMale
Primary Taxonomy101YS0200X
Provider Legal NameMR. BRYAN CESAR FREGOSO
Location Address921 S 8TH AVEPocatello, ID 83209-0001
Mailing Address393 Kimberly DrIdaho Falls, ID 83401-3821 · (208) 932-5251
Phone(208) 932-5251
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateAugust 22, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1447138094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
921 S 8TH AVE, Pocatello, ID 83209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Bryan Cesar Fregoso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123582442
PECOS Enrollment IDI20260708002665
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bryan Fregoso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health West, Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
1000 N 8TH AVE
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 63 clinicians in this Medicare group
NPI 1154320752 (208) 232-6260

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BAILEY CAROLINE FRY ATS
Specialist/Technologist (Athletic Trainer)
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 240-3247
HANNA MYKAL CROZIER
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 530-3692
IDAHO STATE UNIVERSITY
Local Education Agency (LEA)
921 S 8TH AVE, MAIL STOP 8219
POCATELLO, ID 83209
Bannock County (208) 282-3540
DR. DUSTYN SLADE LEE WALTON PT, DPT, ATC
Physical Therapist (Sports)
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (307) 696-5885
JANELL C JUDY
Nurse Practitioner (School)
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 716-9641
DILLON CLARK
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 282-4636
MICHELLE METCALF DMD
Dentist
921 S 8TH AVE, CAMPUS BOX 8088
POCATELLO, ID 83209
Bannock County (208) 282-6000
RACHEL ERIN GEOGHEGAN ATC
Specialist/Technologist (Athletic Trainer)
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 479-9142

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 Bryan Fregoso's NPI number?

The NPI number for Bryan Fregoso is 1447138094. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Bryan Fregoso located?

Bryan Fregoso practices at 921 S 8th Ave, Pocatello, ID 83209. The listed phone number is (208) 932-5251.

What is Bryan Fregoso's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

Is Bryan Fregoso enrolled in Medicare?

Yes. Bryan Fregoso is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bryan Fregoso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Fregoso reassigns Medicare benefits to Health West, Inc. (Pocatello, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Fregoso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Fregoso accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Select Health and University of Utah Health Plans list Bryan Fregoso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Fregoso was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.