National Provider Identifier Database

BRANDY M BATES LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

BRANDY M BATES, LLC
2434 S FAIRWAY DR
POCATELLO, ID83201-2372
Phone: 208-851-9151
Fax: 208-977-0029
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for BRANDY M BATES, LLC

NPI Number 1184573032
Legal business name
LBN
BRANDY M BATES, LLC
Authorized official BRANDY BATES - (OWNER/PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 01/23/2026
Last updated 01/23/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 601809507

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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