P Praxis·MD
● Active Type 2 · Organization

Blake D. Alexander, Md, PA

Dermatology·Pocatello, ID· NPI 1366626483 · Enumerated 2007 · 18 years on NPI
Blake D. Alexander, Md, PA is 1 of 102 dermatology organizations in Idaho.
NPI age
18 years
Enumerated 2007-12-26
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Alexander
President
Last NPPES update
2007-12-26
Source: monthly bulk 2026-05

How this organization compares

Across 102 active dermatology providers in Idaho.

NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
500 S 11th Ave, Suite 203
Pocatello, ID 832014835
📞 2082361600fax 2082366695
Mailing address
Po Box 4908
Pocatello, ID 832054908
📞 2082361600

Authorized official

Blake D. Alexander, MD
President
📞 2082361600

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    ID license #M8227 taxonomy 207N00000X

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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