NPI age
18 years
Enumerated 2007-06-18
● Active
Type 1 · Individual
Jeffrey D Hancock, MD
Hancock is 1 of 8 pediatrics providers in Rexburg and 1 of 252 in Idaho.
Primary specialty
Pediatrics
Licensed in
UT
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-11-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 252 active pediatrics providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Practice location
380 Walker Dr
Rexburg, ID 834401657
Mailing address
1707 W 2175 S
Syracuse, UT 840758565
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010163793 | BLUE SHIELD |
| 01 (ID) | 8J950 | BLUE CROSS |
| 05 (ID) | 807823000 |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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