P Praxis·MD
● Active Type 1 · Individual

DR. Charles Jeffrey Zollinger, M.D.

General Practice·Rexburg, ID· NPI 1629182282 · Enumerated 2006 · 19 years on NPI
Zollinger is 1 of 2 general practice providers in Rexburg and 1 of 75 in Idaho.
NPI age
19 years
Enumerated 2006-08-19
Primary specialty
General Practice
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-04-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 75 active general practice providers in Idaho.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
393 E 2nd N
Rexburg, ID 834401605
📞 2083565401fax 2083563111
Mailing address
393 E 2nd N
Rexburg, ID 834401605
📞 2083565401fax 2083563111

Additional practice locations

1 secondary location on file with NPPES.

Location 2
450 E Main St
Rexburg, ID 834402048
📞 2083563691

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    ID license #M4211 taxonomy 208D00000X

Identifiers

TypeValueNotes
05 (ID) 004021800

Practice context

Part of a multi-provider practice. 66 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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