NPI age
18 years
Enumerated 2008-02-29
● Active Type 2 · Organization
Fall Creek Skin And Health Pllc
Fall Creek Skin And Health Pllc is 1 of 387 physician assistant organizations in Idaho.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bagley
Physician Assistant Certified
Last NPPES update
2018-06-26
Source: monthly bulk 2026-05
How this organization compares
Across 387 active physician assistant providers in Idaho.
NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-02Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
534 Trejo St Ste 400
Rexburg, ID 83440
Mailing address
Po Box 378
Rexburg, ID 834400378
Authorized official
Brett Gerald Bagley, P.A.-C.
Physician Assistant Certified
📞 2083592263
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805069800 |
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.