NPI age
19 years
Enumerated 2007-04-23
● Active
Type 1 · Individual
P. Roman Burk, D.P.M.
Burk is 1 of 2 podiatrist providers in Caldwell and 1 of 67 in Idaho.
Primary specialty
Podiatrist
Plus 1 subspecialty
Licensed in
ID, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-12-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 67 active podiatrist providers in Idaho.
NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
2 states
Top 80% — 19% of peers are multi-state
Subspecialties
1
In the 34% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
1818 S 10th Ave, Suite 250
Caldwell, ID 836054803
Mailing address
1818 S 10th Ave, Suite 250
Caldwell, ID 836054803
Specialties
-
Podiatrist PrimaryDefinition to come...
-
PodiatristA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010167550 | REGENCE BLUE SHIELD |
| 01 (ID) | P2447 | BLUE CROSS |
| 05 (ID) | 8080019 | |
| 01 (ID) | 6701670001 | MEDICARE DME PTAN |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 7 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.