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

Brandy M Bates, PA-C

Individual provider Medical Physician Assistant · NPI 1487886560

Brandy M Bates, PA-C is a Medical Physician Assistant in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho and Utah.

Licensed in
ID, UT
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2434 S Fairway Dr
Pocatello, ID 83201-2372
Phone: (208) 851-9151
Fax: (208) 417-1822
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 11217957-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA-808 (ID)

Record details

NPI number1487886560
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 21, 2009
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address2434 S Fairway Dr, Pocatello, ID 83201-2372

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