● Active Type 1 · Individual

Noah Bernal

Physician Assistant·Idaho Falls, ID· NPI 1003461401 · Enumerated 2019 · 6 years on NPI

Bernal is 1 of 44 physician assistant providers in Idaho Falls and 1 of 387 in Idaho.

NPI age

6 years

Enumerated 2019-08-03

Primary specialty

Physician Assistant

Plus 2 subspecialties

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2024-08-21

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age

6 years

↓ 9 yr below median (15 yr)

State licenses

1 state

16% of peers hold multiple states

Subspecialties

In the 30% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES

2019 2026

Where they practice

Practice location

3614 Washington Pkwy

Idaho Falls, ID 834047573

📞 2085354343

Mailing address

6410 E Mansion Hill Dr

Ammon, ID 834064707

Specialties

Physician Assistants & Advanced Practice Nursing Providers › Physician Assistant

Physician Assistant Primary

Definition to come...

taxonomy 363AM0700X
Physical Medicine & Rehabilitation

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the...

ID license #PA-1924 taxonomy 2081S0010X
Student in an Organized Health Care Education/Training Program

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

taxonomy 390200000X

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.