P Praxis·MD
● Active Type 1 · Individual

Alice D. Bollinger, RN

Clinic/Center·Pocatello, ID· NPI 1275894065 · Enumerated 2012 · 13 years on NPI
Bollinger is 1 of 12 clinic/center providers in Pocatello and 1 of 104 in Idaho.
NPI age
13 years
Enumerated 2012-06-07
Primary specialty
Clinic/Center
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-06-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 104 active clinic/center providers in Idaho.

NPI age
13 years
↑ 2 yr above median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
444 Hospital Way
Pocatello, ID 832012745
📞 2082326214fax 2082333416
Mailing address
4939 Joy St
Chubbuck, ID 832022505
📞 2082326214

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #N17580 taxonomy 261QP2300X

Practice context

Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new clinic/center provider has been added in Pocatello in the last 180 days. See all →
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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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