P Praxis·MD
● Active Type 1 · Individual

Brek David Stoker, AUD, CCC-A

Specialist·Boise, ID· NPI 1609822402 · Enumerated 2006 · 20 years on NPI
Stoker is 1 of 67 specialist providers in Boise and 1 of 305 in Idaho.
NPI age
20 years
Enumerated 2006-05-25
Primary specialty
Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-03-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 305 active specialist providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
13176 W Persimmon Ln, #120
Boise, ID 837131986
📞 2083763591fax 2083763594
Mailing address
13176 W Persimmon Ln, #120
Boise, ID 837131986
📞 2083763591fax 2083763594

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    ID license #H-412 taxonomy 174400000X

Identifiers

TypeValueNotes
01 (ID) 000010143649 BLUE SHIELD OF ID
05 (ID) 805959200
01 (ID) AU571 BLUE CROSS OF ID

Practice context

Part of a multi-provider practice. 6 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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