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Bracken Bateman, DDS
NPI 1477177566 · General Practice Dentistry · Rexburg, ID
Bracken Bateman, DDS is a General Practice Dentistry provider in Rexburg, ID (NPI 1477177566).
Provider details
- NPI number
- 1477177566
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D-5151 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
242 E Main St
Rexburg, ID 83440-2022
Phone: (208) 680-7067
Street-level locationGet directions
Mailing address
4461 Deloy Dr
Idaho Falls, ID 83401-1226
Additional practice locations (1)
- 3550 Washington PkwyIdaho Falls, ID 83404-4968Phone: (208) 680-7067
Registry dates
- Enumerated
- 2020-06-03
- Last updated
- 2020-06-03
- Certified
- 2020-06-03
Frequently asked questions
- What is Bracken Bateman's NPI number?
- Bracken Bateman's National Provider Identifier (NPI) is 1477177566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bracken Bateman's specialty?
- Bracken Bateman is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Bracken Bateman located?
- Bracken Bateman's practice location on file with NPPES is 242 E Main St, Rexburg, ID 83440-2022.
- What is Bracken Bateman's phone number?
- The practice phone number listed in the NPPES registry for Bracken Bateman is (208) 680-7067.
- Is Bracken Bateman's NPI active?
- Yes — Bracken Bateman's NPI (1477177566) is active in the NPPES registry as of the last update on 2020-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.