NPI age
19 years
Enumerated 2007-01-08
● Active Type 2 · Organization
Gem State Pediatrics
Gem State Pediatrics is 1 of 252 pediatrics organizations in Idaho.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brus
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 252 active pediatrics providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
520 S Eagle Rd, Suite 1209
Meridian, ID 836426308
Mailing address
520 S Eagle Rd, Suite 1209
Meridian, ID 836426308
Authorized official
Mario Brus, MD
Owner
📞 2087065460
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Robert Adams, MD Pediatrics NPI 1093933830
- Melissa Agoudemos, M.D. Pediatrics NPI 1518175579
- Caden Alder, PHARMD Pharmacist NPI 1154055549
- Lisa Alford, RN Registered Nurse NPI 1356025357
- Gray Allen, PHARMD Pharmacist NPI 1083597488
- Jensen Allen, MS, OTR/L Occupational Therapist NPI 1760197271
- Uday Aloka, M.D. Psychiatry & Neurology NPI 1730576505
- Brooke Ames Dietitian, Registered NPI 1457063315
- Celia Arneson Physical Therapist NPI 1891245510
- Curt Ater, RPH Pharmacist NPI 1912293754
- Brian Auge, MD Urology NPI 1477523900
- Hayden Baldwin, PT Physical Therapist NPI 1609456953
- Mara Bateman, LAC Acupuncturist NPI 1285127464
- Anthony Batiz, PHARMD Pharmacist NPI 1932832771
- Laci Bauer, NP-C Nurse Practitioner NPI 1558905653
- Sarah Becker Pharmacist NPI 1114565603
- Margaret Beckwith, MD Physical Medicine & Rehabilitation NPI 1902309719
- Jared Benson, LCSW Social Worker NPI 1659517282
- Sara Berberich, CSFA Specialist/Technologist, Other NPI 1386309441
- Steven Berg, CRNA Nurse Anesthetist, Certified Registered NPI 1386662633
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 57885 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010001341 | BLUE SHIELD OF IDAHO |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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