OrganizationActive
Gem State Pediatrics
NPI 1992853386 · Pediatrics Physician · Meridian, ID
Gem State Pediatrics is a Pediatrics Physician organization in Meridian, ID (NPI 1992853386).
Provider details
- NPI number
- 1992853386
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mario Brus, Owner(208) 706-5460
- License
- M5562 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
520 S Eagle Rd
Suite 1209
Meridian, ID 83642-6308
Phone: (208) 706-5460
Fax: (208) 706-5465
Street-level locationGet directions
Mailing address
520 S Eagle Rd
Meridian, ID 83642-6308
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Gem State Pediatrics's NPI number?
- Gem State Pediatrics's National Provider Identifier (NPI) is 1992853386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gem State Pediatrics?
- Gem State Pediatrics is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Gem State Pediatrics located?
- Gem State Pediatrics's practice location on file with NPPES is 520 S Eagle Rd, Meridian, ID 83642-6308.
- What is Gem State Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Gem State Pediatrics is (208) 706-5460.
- Who is the authorized official for Gem State Pediatrics?
- The authorized official listed on Gem State Pediatrics's NPPES record is Mario Brus, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gem State Pediatrics's NPI active?
- Yes — Gem State Pediatrics's NPI (1992853386) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.