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MADISON PHYSICIAN SERVICES
NPI 1639111206
Emergency Medicine in Rexburg, ID

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: July 26, 2026.

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.

TODD GEHMLICH CRNA
Nurse Anesthetist, Certified Registered
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
MADISON ANESTHESIA SERVICES PA
Nurse Anesthetist, Certified Registered
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
CINDI FARNWORTH CRNA
Nurse Anesthetist, Certified Registered
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
JEFFREY T GROVER CRNA
Nurse Anesthetist, Certified Registered
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
DR. DAVID VICTOR HANSEN M.D.
Radiology (Diagnostic Radiology)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-6508
KURT R MAYBERRY MD
Emergency Medicine
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
DEBRA BRAND MD
Emergency Medicine
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
MOUNTAIN VALLEY IMAGING LLC
Radiology (Diagnostic Radiology)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-6508

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 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.

Where is Madison Physician Services located?

Madison Physician Services is located at 450 E Main St, Rexburg, ID 83440. The listed phone number is (208) 359-9898.

What is Madison Physician Services's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Physician Services was last updated on June 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.