Individual provider · Type 1 NPI

Shad T. Bateman, DO

Family Medicine Physician · Blackfoot, ID

NPI number 1104478007 Active

Practice location

98 Poplar St
Blackfoot, ID 83221-1758

Fax (208) 785-3504

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XO-1720 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104478007

Shad T. Bateman, DO's National Provider Identifier is 1104478007, issued on Jul 10, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Blackfoot, ID. The record was last updated on Apr 23, 2025.