NPI age
19 years
Enumerated 2006-07-13
● Active
Type 1 · Individual
DR. Dane J Dickson, MD
Dickson is 1 of 2 internal medicine providers in Rexburg and 1 of 48 in Idaho.
Primary specialty
Internal Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-01-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 48 active internal medicine providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
31% of peers hold multiple states
Subspecialties
0
52% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
380 Walker Drive
Rexburg, ID 83440
Mailing address
380 Walker Dr
Rexburg, ID 834401657
Specialties
-
Internal Medicine PrimaryAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010032448 | BLUE SHIELD |
| 01 (ID) | 8J950 | BLUE CROSS |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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