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Active NPI 1477177566 Individual Practitioner Male Practitioner

Dr. Bracken Ross Bateman , DDS

Dentist - General Practice • Rexburg, ID

Professional Overview & Biography Verified Profile Summary

Dr. Bracken Bateman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rexburg, ID. Practice services are available at 242 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

242 E Main St

Rexburg, ID 834402022

Telephone 2086807067
Associated Practice Facility / Clinic
🏢 Comfort Care Dental Of Rexburg, Pllc Facility NPI 1093975211

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rexburg, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Rexburg, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-5151

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

3550 Washington Pkwy

Idaho Falls, ID 834044968

Phone: 2086807067

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Charles Higham , DMD

Dentist - General Practice

NPI 1255997888

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active June 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2020

Registered at 242 E MAIN ST, REXBURG, ID 834402022 (Tel: 2086807067)

📍
Updated Business Mailing Address June 03, 2020

Registered at 4461 DELOY DR, IDAHO FALLS, ID 834011226 (Tel: 2086807067)

👤
Provider Name / Credentials Updated June 03, 2020

Recorded as BRACKEN BATEMAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2020

Dentist (License #D-5151 in ID)

🟢
Initial NPI Registration & Enumeration June 03, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477177566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2020
Last Update: June 03, 2020
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4461 Deloy Dr

Idaho Falls, ID 834011226

Phone: 2086807067

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.