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: August 16, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Specialist/Technologist (Athletic Trainer)
921 S 8TH AVE
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE
POCATELLO, ID 83209
Local Education Agency (LEA)
921 S 8TH AVE, MAIL STOP 8219
POCATELLO, ID 83209
Physical Therapist (Sports)
921 S 8TH AVE
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE
POCATELLO, ID 83209
Dentist
921 S 8TH AVE, CAMPUS BOX 8088
POCATELLO, ID 83209
Specialist/Technologist (Athletic Trainer)
921 S 8TH AVE
POCATELLO, ID 83209
Specialist/Technologist (Athletic Trainer)
921 S 8TH AVE
POCATELLO, ID 83209

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.

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 11 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.