Brandy M Bates LLC
Brandy M Bates LLC is a Geriatric Medicine (Family Medicine) Physician in Pocatello, Idaho. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2434 S Fairway DrPocatello, ID 83201-2372
Phone: (208) 851-9151
Fax: (208) 977-0029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X |
|---|
Record details
| NPI number | 1184573032 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brandy Bates — Owner/Provider · (208) 851-9151 |
| Other names | Haven Complete Wellness Services |
| NPI enumerated | January 23, 2026 |
| Last updated in NPPES | July 15, 2026 |
| Certification date | July 15, 2026 |
| Mailing address | 2434 S Fairway Dr, Pocatello, ID 83201-2372 |
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