Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAD T BATEMAN, DO
Active Sole ProprietorSHAD T BATEMAN, DO is a Family Medicine healthcare provider located in BLACKFOOT, Idaho. NPI 1104478007 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BLACKFOOT, ID
Registration Details
- NPI Number
- 1104478007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2019 (7.0711307237521 yrs)
- Last Updated
- Apr 23, 2025
- License
-
O-1720 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
98 POPLAR STBLACKFOOT, ID, 832211758Browse ID providers · Browse ZIP 83221
- Phone
- 2087822980
- Fax
- 2087853504
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| FRANCIS BRYCE MOSER | DO | 1770541146 |
| PEGGY TORO | MD | 1053379461 |
| DR. THOMAS CALL | DO | 1699723569 |
| BRIAN CARRIGAN | MD | 1457300279 |
| GORDON E DIXON JR. | DO | 1578518395 |
| GARY W SOUCIE | MD | 1255386082 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.