P Praxis·MD
● Active Type 1 · Individual

DR. Spencer John Robertson, M.D.

Radiology·Burley, ID· NPI 1225172661 · Enumerated 2007 · 19 years on NPI
Robertson is 1 of 4 radiology providers in Burley and 1 of 248 in Idaho.
NPI age
19 years
Enumerated 2007-02-19
Primary specialty
Radiology
Plus 2 subspecialties
Licensed in
ID, PA, UT
3 states
Status
Active
No deactivations on record
Last NPPES update
2013-03-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 248 active radiology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
3 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
1501 Hiland Ave
Burley, ID 833182682
📞 2086784444
Mailing address
5444 Green St
Murray, UT 841235632
📞 8012628120fax 8012623897

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    ID license #M-10706PA license #MD430572UT license #7345497-1205 taxonomy 2085R0202X

Practice context

Part of a multi-provider practice. 64 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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