DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GORDON SCOTT BONTRAGER, MD

Active

DR. GORDON SCOTT BONTRAGER, MD is a Family Medicine healthcare provider located in PRESTON, Idaho. NPI 1780919829 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PRESTON, ID

Registration Details

NPI Number
1780919829
Provider Type
Individual
Gender
Male
NPI Issued
Oct 7, 2009 (16.816321812973 yrs)
Last Updated
Jan 29, 2025
Licenses
MRM-1734 (ID)
2119 (TN)

Practice Information

Address
43 N 1ST E
PRESTON, ID, 832631325
Browse ID providers · Browse ZIP 83263
Phone
2086484771
Fax
2087440140
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Physician Assistant

Other Family Medicine Providers in PRESTON, ID

Name Credential NPI
DR. REX EMERSON WORTHAM M.D. 1679580492
DR. DAVID BRADLEY BECKSTEAD MD 1801909122
DANIEL YUGI PATTEN MD 1245490390
DR. STUART G KNAPP MD 1780979914
RAVEN EBANEZ APRN-CNP 1265290837
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.