Preston Buckley

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

VR109587E Issued in ID

Practice address

608 Shoup Ave W
Twin Falls, ID 83301-4550

Phone

(208) 410-3578

NPI assigned

May 21, 2026

Last updated

May 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1205766243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 VALENCIA ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015657",
            "telephone_number": "208-431-8337",
            "fax_number": "208-431-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SHOUP AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014550",
            "telephone_number": "208-410-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "PRESTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "ID",
            "license": "VR109587E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Harding Crna PA
• April Bruns
• Elizabeth Ann Bryers, M.S., CCC-SLP
• Terry J Buccambuso, M.D.
• Micah Buck, OTR/L
• Alysia Budd, O.T.
• Kristina Bunn, LSW
• Daniel Burcham, LPC
• Jaxson Jeffrey Burgemeister, OTR
• Dorothy Burnham, PHARMD

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.