NPI age
17 years
Enumerated 2009-02-02
● Active Type 2 · Organization
Alpine Dermatology Clinic P.c.
Alpine Dermatology Clinic P.c. is 1 of 36 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
4
3 secondary on file
Status
Active
No deactivations on record
Authorized official
Marshall
Owner, Ceo
Last NPPES update
2019-04-05
Source: monthly bulk 2026-05
How this organization compares
Across 36 active clinic/center providers in Idaho.
NPI age
17 years
↑ 2 yr above median
Practice locations
4
3 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-02Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1049 Summers Dr
Rexburg, ID 834405335
Mailing address
1049 Summers Dr
Rexburg, ID 834405335
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
520 Highland Dr
Arco, ID 83213
Location 3
150 S Main St Ste 1
Driggs, ID 834225022
Location 4
927 S Utah Ave Ste 200
Idaho Falls, ID 834023322
Authorized official
Daniel R Marshall, D.O.
Owner, Ceo
📞 2083594841
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Travis Gilbert, PA-C Physician Assistant NPI 1770093619
- Brandon Tracy, FNP-C Nurse Practitioner NPI 1710403746
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address. Plus 3 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.