P Praxis·MD
● Active Type 1 · Individual

DR. Burt J Glazier, DO

General Practice·Eagle, ID· NPI 1477743722 · Enumerated 2007 · 18 years on NPI
Glazier is 1 of 4 general practice providers in Eagle and 1 of 75 in Idaho.
NPI age
18 years
Enumerated 2007-08-01
Primary specialty
General Practice
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-11-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 75 active general practice providers in Idaho.

NPI age
18 years
↑ 5 yr above median (13 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Practice location
1851 W Woodvalley St
Eagle, ID 836163582
📞 2089390690
Mailing address
1851 W Woodvalley St
Eagle, ID 836163582
📞 2089390690

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    ID license #0 288 taxonomy 208D00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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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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