P Praxis·MD
● Active Type 2 · Organization

Bryan C Pogue MD

Family Medicine·Boise, ID· NPI 1477558328 · Enumerated 2005 · 20 years on NPI
Bryan C Pogue MD is 1 of 1691 family medicine organizations in Idaho.
NPI age
20 years
Enumerated 2005-06-16
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sizemore
Administrator
Last NPPES update
2016-04-05
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
6565 W Emerald St
Boise, ID 837048737
📞 2083775055fax 2083775335
Mailing address
6565 W Emerald St
Boise, ID 837048737
📞 2083775055fax 2083775335

Authorized official

Kelli M Sizemore, CMPE
Administrator
📞 2083775055

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #M5125 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (ID) 002789800

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Selah Medical Center, PA
    Type code 3 recorded 2006-12-13

Practice context

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

Provyx · Custom healthcare lists

Need all 1691 Family Medicine providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related