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

Pebble Creek Emergency Physicians PLLC

Organization Emergency Medicine Physician · NPI 1386019784

Pebble Creek Emergency Physicians PLLC is an Emergency Medicine Physician in Pocatello, Idaho. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

777 Hospital Way
Pocatello, ID 83201-5175
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1386019784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Gatewood — President · (469) 401-2386
NPI enumeratedDecember 10, 2015
Last updated in NPPESDecember 15, 2015
Mailing address13737 Noel Rd, Suite 1600, Dallas, TX 75240-1331

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