BRANDY M BATES PA-C
NPI 1487886560
Physician Assistant - Medical in Pocatello, ID

Q: What is Brandy Bates's NPI number?

The NPI number for Brandy Bates is 1487886560. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Q: What is Brandy Bates's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Brandy Bates was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 21, 2009PECOS Enrolled

2434 S FAIRWAY DR, POCATELLO, ID 83201(208) 851-9151(208) 417-1822 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 29, 2025, May 6, 2020, Dec 10, 2018 (3 updates tracked since 2018).

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About Brandy M Bates Pa-c NPPES

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

BRANDY M BATES PA-C (NPI 1487886560) is an individual medical provider in Pocatello, Idaho, licensed in Utah (11217957-1206) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487886560

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameBRANDY M BATESCredential: PA-C

Location Address2434 S FAIRWAY DRPocatello, ID 83201-2372

Mailing Address2434 S Fairway DrPocatello, ID 83201-2372 · (208) 851-9151 · Fax (208) 417-1822

Phone(208) 851-9151

Fax(208) 417-1822

Sole ProprietorYes

Enumeration DateAugust 21, 2009

Last NPPES UpdateDecember 29, 20253 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1487886560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in UT · 11217957-1206

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-808 (ID)

2434 S FAIRWAY DR, Pocatello, ID 83201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandy M Bates Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

BRANDY M BATES LLC

Family Medicine (Geriatric Medicine)

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 Bates's NPI number?

The NPI number for Brandy Bates is 1487886560. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Where is Brandy Bates located?

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

What is Brandy Bates's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brandy Bates enrolled in Medicare?

Yes. Brandy Bates is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandy Bates was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.