HomeNPI Verification
NPI Verification
National Provider Identifier: 1104478007
Shad T Bateman, DO
Individual Provider
Credentials
DO
Primary Specialty
Family Medicine
Code: 207Q00000X
Practice Address
98 POPLAR ST
BLACKFOOT, ID 832211758
Phone: 208-782-2980
NPI Enumeration Date
July 10, 2019
NPI Number
1104478007Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry