Gordon Scott Bontrager, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MRM-1734 Issued in ID

Practice address

43 N 1St E
Preston, ID 83263-1325

Phone

(208) 648-4771

Fax

(208) 744-0140

NPI assigned

Oct 7, 2009

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Preston Family Medicine

  • Family Medicine Physician
  • Preston, ID
  • NPI 1891406112

  Family Medicine, ID

  Medicare reassignment Care Compare group NPD Authorized official
• Franklin County Medical Center

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811

  Family Medicine, ID

  Medicare reassignment NPD
• Preston Drug Health Services LLC

  • Family Medicine Physician
  • Preston, ID
  • NPI 1275245615

  Family Medicine, ID

  Medicare reassignment NPD
• Preston Family Medicine Dba Bontrager Quick Care

  • Urgent Care Clinic/Center
  • Preston, ID
  • NPI 1740989417
  NPD Authorized official
• Franklin County Medical Center

  • Home Health Agency
  • Preston, ID
  • NPI 1437927431
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franklin County Medical Center

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811

  Hospital

  Care Compare affiliation
• Whitewater Healthcare LLC

  • Home Health Agency
  • Chubbuck, ID
  • NPI 1477177921
  Care Compare affiliation
• Whitewater Healthcare LLC

  • Community Based Hospice Care Agency
  • Chubbuck, ID
  • NPI 1619591161

  Hospice

  Care Compare affiliation

Specialty

Family Practice

Education

East Tennessee State University Quillen College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preston Family Medicine 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Symbii Home Health Home health agency, Chubbuck, ID, CCN 137110
• Symbii Hospice Hospice, Chubbuck, ID, CCN 131552
• Franklin County Medical Center Hospital, Preston, ID, CCN 131322
• Franklin County Medical Center Nursing home, CCN 13Z322

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gordon.bontrager.1@17373.direct.athenahealth.com
• Direct secure messaging: gordon.bontrager@541628922265604.direct.elationemr.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2025.

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1780919829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 N 1ST E",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631325",
            "telephone_number": "208-648-4771",
            "fax_number": "208-744-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 N 1ST E",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631325",
            "telephone_number": "208-648-4771",
            "fax_number": "208-744-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 N 1st E",
            "address_purpose": "LOCATION",
            "city": "Preston",
            "state": "ID",
            "postal_code": "832631326",
            "country_code": "US",
            "telephone_number": "208-648-4771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONTRAGER",
        "first_name": "GORDON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM-1734",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2119",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIDROAD MEDICARE",
            "identifier": "P01478459",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15285357",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BOARD OF MEDICINE - RESIDENCY",
            "identifier": "MRM-1734",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780919829",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BOARD OF MEDICINE - PA",
            "identifier": "PA-2119",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Preston, ID
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.