MADISON PHYSICIAN SERVICES
NPI 1639111206
Emergency Medicine in Rexburg, ID

Q: What is Madison Physician Services's NPI number?

The NPI number for Madison Physician Services is 1639111206. It was assigned to this organization in the NPPES registry on June 11, 2006.

Q: What is Madison Physician Services's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since June 11, 2006

450 E MAIN ST, REXBURG, ID 83440(208) 359-9898(208) 359-6764 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Madison Physician Services NPPES

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

MADISON PHYSICIAN SERVICES (NPI 1639111206) is a healthcare organization registered as an emergency medicine in Rexburg, Idaho and active in the NPI registry since June 2006. The organization lists Rachel A. Gonzales, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639111206

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameMADISON PHYSICIAN SERVICES

Location Address450 E MAIN STRexburg, ID 83440-2048

Mailing AddressPo Box 700Rexburg, ID 83440-0700 · (208) 359-9898 · Fax (208) 359-6764

Phone(208) 359-9898

Fax(208) 359-6764

Organization SubpartNo

Authorized OfficialRachel A. GonzalesCeo · (208) 359-9879

Enumeration DateJune 11, 2006

Last NPPES UpdateJune 5, 2012

✔ NPI 1639111206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in ID · 40

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

450 E MAIN ST, Rexburg, ID 83440

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Other Identifiers 4

Medicare ID-Type Unspecified1378933ID

Other8K867ID · Blue Cross Of Idaho

Other000010006290ID · Regence Blue Shield Of Id

Medicaid002855800ID

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 20

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

BRADLEY SAUNDERS OTR-L

Occupational Therapist