TRUDY BEARDEN PA-C
NPI 1639151848
Physician Assistant - Medical in Pocatello, ID

Active since November 15, 2005
465 MEMORIAL DR, POCATELLO, ID 83209(208) 282-4700 Get Directions Write a Review

NPPES record last updated: August 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Trudy Bearden Pa-c NPPES

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

TRUDY BEARDEN PA-C (NPI 1639151848) is an individual medical provider in Pocatello, Idaho, licensed in Idaho (PA-543) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1639151848
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTRUDY BEARDENCredential: PA-C
Location Address465 MEMORIAL DRPocatello, ID 83209-0001
Mailing Address465 Memorial DrPocatello, ID 83201-4008
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateAugust 1, 2009
NPI 1639151848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ID · PA-543
465 MEMORIAL DR, Pocatello, ID 83209

Other Identifiers 1

OtherPA-543ID · Pa License Number

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
465 MEMORIAL DR
POCATELLO, ID 83209
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83209
Nurse Practitioner (Family)
465 MEMORIAL DR
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 Trudy Bearden's NPI number?

The NPI number for Trudy Bearden is 1639151848. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Trudy Bearden located?

Trudy Bearden practices at 465 Memorial Dr, Pocatello, ID 83209. The listed phone number is (208) 282-4700.

What is Trudy Bearden's specialty?

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

When was this NPI record last updated?

The NPPES record for Trudy Bearden was last updated on August 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.