KATELYN BERCAW DO – NPI #1013853597
Family Medicine

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.

KATELYN BERCAW is a physician located in POCATELLO, ID. NPPES recently assigned the NPI number 1013853597 to KATELYN BERCAW on April 27, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KATELYN BERCAW below.

NPI Profile for
KATELYN BERCAW

NPI Number
1013853597
Enumeration Date

(about 5 weeks ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KATELYN BERCAW
Credentials
DO
Primary location
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone: (208) 232-7862 Fax:
Mailing address
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone: (208) 232-7862 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Apr 27, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
ID 2681508

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.