P Praxis·MD
● Active Type 1 · Individual

DR. Brock Arben Andersen, M.D.

Dermatology·Fruitland, ID· NPI 1558349852 · Enumerated 2006 · 20 years on NPI
Andersen is 1 of 5 dermatology providers in Fruitland and 1 of 102 in Idaho.
NPI age
20 years
Enumerated 2006-01-06
Primary specialty
Dermatology
Plus 2 subspecialties
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 102 active dermatology providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
2101 N Whitley Dr
Fruitland, ID 836192132
📞 2084525999fax 2084524499
Mailing address
2101 N Whitley Dr
Fruitland, ID 836192132
📞 2087404981fax 2084524499

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-11642CA license #A 93571ID license #M-11462 taxonomy 207N00000X

Practice context

Part of a multi-provider practice. 2 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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