P Praxis·MD
● Active Type 1 · Individual

Brandy M Bates, PA-C

Physician Assistant·Pocatello, ID· NPI 1487886560 · Enumerated 2009 · 16 years on NPI
Bates is 1 of 33 physician assistant providers in Pocatello and 1 of 387 in Idaho.
NPI age
16 years
Enumerated 2009-08-21
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
UT, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-29
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
16 years
≈ at median (15 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-08Enumerated in NPPES
2009 2026

Where they practice

Practice location
2434 S Fairway Dr
Pocatello, ID 832012372
📞 2088519151fax 2084171822
Mailing address
2434 S Fairway Dr
Pocatello, ID 832012372
📞 2088519151fax 2084171822

Specialties

  • Physician Assistant Primary
    Definition to come...
    UT license #11217957-1206 taxonomy 363AM0700X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    ID license #PA-808 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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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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