Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gem State Pediatrics

Organization Pediatrics Physician · NPI 1992853386

Gem State Pediatrics is a Pediatrics Physician in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

520 S Eagle Rd Ste 1209
Meridian, ID 83642-6308
Phone: (208) 706-5460
Fax: (208) 706-5465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M5562 (ID)

Record details

NPI number1992853386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Brus — Owner · (208) 706-5460
NPI enumeratedJanuary 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address520 S Eagle Rd, Suite 1209, Meridian, ID 83642-6308

Other providers in Meridian