NPI age
2 years
Enumerated 2024-04-18
● Active Type 2 · Organization
Sterling Provider Group
Sterling Provider Group is 1 of 41 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bunnage
Provider/owner
Last NPPES update
2024-07-26
Source: monthly bulk 2026-05
How this organization compares
Across 41 active clinic/center providers in Idaho.
NPI age
2 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 48% of peers with subspecialties
NPI lifetime · 2024 → 2026
2024-04Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
1129 S Broadway Ave
Boise, ID 837063626
Mailing address
740 S Woodruff Ave
Idaho Falls, ID 834015285
Authorized official
Corbin Bunnage, PA-C
Provider/owner
📞 2085429111
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 13D2212497 | CLIA |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.