NPI age
19 years
Enumerated 2007-03-27
● Active Type 2 · Organization
Pocatello Clinic Of Internal Medicine PA
Pocatello Clinic Of Internal Medicine PA is 1 of 504 internal medicine organizations in Idaho.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Benson
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 504 active internal medicine providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
707 N 7th
Pocatello, ID 83201
Mailing address
Po Box 880
Pocatello, ID 83204
Authorized official
Mark P Benson, MD
Owner
📞 2082334562
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 29296 | GROUP BLUE SHIELD |
| 01 (ID) | CP9190 | GROUP RAILROAD MEDICARE |
| 01 (ID) | 88765 | GROUP BLUE CROSS |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.