P Praxis·MD
● Active Type 2 · Organization

Boise Dermatology

Dermatology·Meridian, ID· NPI 1417495615 · Enumerated 2017 · 9 years on NPI
Boise Dermatology is 1 of 102 dermatology organizations in Idaho.
NPI age
9 years
Enumerated 2017-02-07
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brooks
Dermatolgist
Last NPPES update
2017-02-07
Source: monthly bulk 2026-05

How this organization compares

Across 102 active dermatology providers in Idaho.

NPI age
9 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-02Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
3109 S Meridian Rd
Meridian, ID 836427088
📞 2027160051
Mailing address
3109 S Meridian Rd
Meridian, ID 836427088
📞 2027160051

Authorized official

Naomi Beth Brooks, MD
Dermatolgist
📞 2027160051

Individual providers at this organization

1 individual provider 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 #M-11311 taxonomy 207N00000X

Practice context

Multi-provider organization. 1 individual provider 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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