BRACKEN ROSS BATEMAN DDS
NPI 1477177566
Dentist - General Practice in Rexburg, ID

Active since June 03, 2020
242 E MAIN ST, REXBURG, ID 83440(208) 680-7067 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bracken Ross Bateman Dds NPPES

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

BRACKEN ROSS BATEMAN DDS (NPI 1477177566) is an individual general practice provider in Rexburg, Idaho, licensed in Idaho (D-5151) and active in the NPI registry since June 2020. He maintains a secondary practice location in Idaho Falls.

NPPES Registry Identity

NPI1477177566
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRACKEN ROSS BATEMANCredential: DDS
Location Address242 E MAIN STRexburg, ID 83440-2022
Mailing Address4461 Deloy DrIdaho Falls, ID 83401-1226 · (208) 680-7067
Sole ProprietorNo
Enumeration DateJune 3, 2020
NPPES CertifiedJune 3, 2020
NPI 1477177566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · D-5151
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
242 E MAIN ST, Rexburg, ID 83440

Secondary Practice Location 1

Location 13550 Washington PkwyIdaho Falls, ID 83404-4968 · Phone (208) 680-7067

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
242 E MAIN ST
REXBURG, ID 83440
Dentist (General Practice)
242 E MAIN ST
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 Bracken Bateman's NPI number?

The NPI number for Bracken Bateman is 1477177566. It was assigned to this individual provider in the NPPES registry on June 3, 2020.

Where is Bracken Bateman located?

Bracken Bateman practices at 242 E Main St, Rexburg, ID 83440. The listed phone number is (208) 680-7067.

What is Bracken Bateman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Bracken Bateman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Bracken Bateman 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 Bracken Bateman was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.