P Praxis·MD
● Active Type 1 · Individual

DR. Conrad Wittram, MBCHB

Radiology·Coeur D Alene, ID· NPI 1578553483 · Enumerated 2005 · 20 years on NPI
Wittram is 1 of 62 radiology providers in Coeur D Alene and 1 of 248 in Idaho.
NPI age
20 years
Enumerated 2005-10-24
Primary specialty
Radiology
Licensed in
MA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-11-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 248 active radiology providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
601 E Front Ave, Suite 502
Coeur D Alene, ID 838142701
📞 2084150556fax 2082923130
Mailing address
601 E Front Ave, Suite 502
Coeur D Alene, ID 838142701
📞 2084150556fax 2082923130

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    MA license #208156 taxonomy 2085R0202X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 248 Radiology 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 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.

Related