Madison Physician Services
Madison Physician Services is a healthcare organization registered as Emergency Medicine Physician in Rexburg, ID, holding Type 2 (organization) NPI 1639111206 since 2006. The authorized official on file is Rachel Gonzales, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639111206 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Madison Physician Services |
| Practice address | 450 E MAIN ST, Rexburg, ID, 83440 |
| Phone | 2083599898 |
| Fax | 2083596764 |
| Enumeration date | 2006-06-11 |
| Last updated in NPPES | 2012-06-05 |
Authorized official
| Name | Rachel Gonzales |
|---|---|
| Title | Ceo |
| Phone | 2083599879 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | Primary | 40 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002855800 | Medicaid | ID | — |
| 8K867 | Other | ID | BLUE CROSS OF IDAHO |
| 000010006290 | Other | ID | REGENCE BLUE SHIELD OF ID |
Copy-ready billing details
Provider: Madison Physician Services NPI: 1639111206 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 450 E MAIN ST, Rexburg, ID, 83440
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1265468169 | Russell Mcune | Individual | Emergency Medicine Physician | Rexburg, ID |
| 1063443059 | Todd Gehmlich | Individual | Certified Registered Nurse Anesthetist | Rexburg, ID |
| 1558392571 | Madison Anesthesia Services PA | Organization | Certified Registered Nurse Anesthetist | Rexburg, ID |
| 1467483545 | Cindi Farnworth | Individual | Certified Registered Nurse Anesthetist | Rexburg, ID |
| 1639104847 | Edwin Wells | Individual | Emergency Medical Services (Emergency Medicine) Physician | Rexburg, ID |
| 1396859591 | Jeffrey Grover | Individual | Certified Registered Nurse Anesthetist | Rexburg, ID |
| 1538277629 | David Hansen | Individual | Diagnostic Radiology Physician | Rexburg, ID |
| 1891886479 | Kurt Mayberry | Individual | Emergency Medicine Physician | Rexburg, ID |
Verify this record
Cross-check NPI 1639111206 against the authoritative CMS record: view Madison Physician Services on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Madison Physician Services located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-06-05.