NPI age
20 years
Enumerated 2006-05-19
● Active
Type 1 · Individual
Glenn C Bothwell, MD
Bothwell is 1 of 8 preventive medicine providers in Boise and 1 of 15 in Idaho.
Primary specialty
Preventive Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-02-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15 active preventive medicine providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
20% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
703 S Americana Blvd
Boise, ID 837025099
Mailing address
190 E Bannock St
Boise, ID 837126241
Specialties
-
Preventive Medicine PrimaryOccupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures....
Practice context
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.