P Praxis·MD
● Active Type 1 · Individual

DR. Anthony J Anderson, MD

Family Medicine·Burley, ID· NPI 1508021726 · Enumerated 2008 · 17 years on NPI
Anderson is 1 of 25 family medicine providers in Burley and 1 of 1691 in Idaho.
NPI age
17 years
Enumerated 2008-07-28
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
ID, WI
2 states
Status
Active
No deactivations on record
Last NPPES update
2010-12-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1691 active family medicine providers in Idaho.

NPI age
17 years
≈ at median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Practice location
1501 Hiland Ave Ste A
Burley, ID 833182682
📞 2088789432
Mailing address
1501 Hiland Ave Ste A
Burley, ID 833182682
📞 2088789432

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 #M-11018WI license #52403-020 taxonomy 207Q00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    WI license #2723 taxonomy 390200000X

Identifiers

TypeValueNotes
01 (WI) 2723 TEP
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new family medicine provider has been added in Burley in the last 180 days. See all →
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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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