NPI age
16 years
Enumerated 2009-10-07
● Active
Type 1 · Individual
DR. Gordon Scott Bontrager, MD
Bontrager is 1 of 9 family medicine providers in Preston and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
ID, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-01-29
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
16 years
≈ at median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-10Enumerated in NPPES
2009
2026
Where they practice
Practice location
43 N 1st E
Preston, ID 832631325
Mailing address
43 N 1st E
Preston, ID 832631325
Additional practice locations
1 secondary location on file with NPPES.
Location 2
44 N 1st E
Preston, ID 832631326
Specialties
-
Family Medicine PrimaryFamily 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...
-
Physician AssistantA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | P01478459 | RAIDROAD MEDICARE |
| 05 (TN) | 15285357 | |
| 01 (ID) | MRM-1734 | IDAHO BOARD OF MEDICINE - RESIDENCY |
| 05 (VA) | 1780919829 | |
| 01 (ID) | PA-2119 | IDAHO BOARD OF MEDICINE - PA |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.