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

Shad T Bateman, DO

Individual provider Family Medicine Physician · NPI 1104478007

Shad T Bateman, DO is a Family Practice in Blackfoot, Idaho. Graduated from West Virginia School of Osteopathic Medicine in 2019, 7 years ago. Practices with Bmh Inc, a 136-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
ID
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

98 Poplar St
Blackfoot, ID 83221-1758
Phone: (208) 782-2980
Fax: (208) 785-3504
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-1720 (ID)

Record details

NPI number1104478007
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 10, 2019
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address98 Poplar St, Blackfoot, ID 83221-1758

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Bmh Inc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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