P Praxis·MD
● Active Type 1 · Individual

DR. Bradley Yamashita Beaufort, DO

Family Medicine·Pocatello, ID· NPI 1063851434 · Enumerated 2013 · 12 years on NPI
Beaufort is 1 of 141 family medicine providers in Pocatello and 1 of 1691 in Idaho.
NPI age
12 years
Enumerated 2013-06-19
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-06-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1691 active family medicine providers in Idaho.

NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Practice location
465 Memorial Dr
Pocatello, ID 832014008
📞 2082824700fax 2082824696
Mailing address
465 Memorial Dr
Pocatello, ID 832014008
📞 2082824700fax 2082824696

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #MRO-1344 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 127 other active providers share this practice address in NPPES.

Recently enumerated nearby: 11 new family medicine providers have been added in Pocatello in the last 180 days. See all →
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How to verify this provider

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

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