NPI age
16 years
Enumerated 2009-11-10
● Active Type 2 · Organization
Subpart
Phs MD #1, Llc
Phs MD #1, Llc is 1 of 104 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Abreu
Administrative Director
Last NPPES update
2010-03-02
Source: monthly bulk 2026-05
How this organization compares
Across 104 active clinic/center providers in Idaho.
NPI age
16 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-11Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
465 Memorial Dr
Pocatello, ID 832014008
Mailing address
Po Box 4728
Pocatello, ID 832054728
Authorized official
John Abreu
Administrative Director
📞 2082392110
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Leigh Ammon, DMD Dentist NPI 1174747190
- Rylan Anderson, DO Family Medicine NPI 1184317554
- Smita Armstrong, MD Family Medicine NPI 1932893534
- Melanie Athens, DO Family Medicine NPI 1285520601
- Andrew Baker, DO Family Medicine NPI 1902535230
- Trudy Bearden, PA-C Physician Assistant NPI 1639151848
- Bradley Beaufort, DO Family Medicine NPI 1063851434
- Alexander Behnam, DO Family Medicine NPI 1235075813
- Katelyn Bercaw, DO Family Medicine NPI 1013853597
- Andrew Bohnsack, DDS Dentist NPI 1811277742
- Lana Borgholthaus, PA Physician Assistant NPI 1255315974
- Shaylor Bringhurst, MD Family Medicine NPI 1073353454
- Weston Burrup, DO Family Medicine NPI 1154161545
- Chance Christensen, MD Family Medicine NPI 1841784535
- Brandon Comish, MD Family Medicine NPI 1134743628
- Scott Conover, D.O. Family Medicine NPI 1437563673
- Chace Cook, MD Family Medicine NPI 1972498061
- Ryan Cox, DO Family Medicine NPI 1548106024
- Elizabeth Craun, M.S. Psychologist NPI 1639524895
- Cody Cunningham, DO Family Medicine NPI 1659000958
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
POCATELLO FAMILY MEDICINE
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of Pocatello Health Services, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.