NPI age
19 years
Enumerated 2006-06-25
● Active Type 2 · Organization
Boise Radiology Group Pllc
Boise Radiology Group Pllc is 1 of 248 radiology organizations in Idaho.
Primary specialty
Radiology
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Administrator
Last NPPES update
2024-03-04
Source: monthly bulk 2026-05
How this organization compares
Across 248 active radiology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 33% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
620 W Hays St
Boise, ID 837025511
Mailing address
Po Box 1616
Evansville, IN 477060018
Authorized official
Lisa Smith
Administrator
📞 2084339466
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Rebekah Goforth, DDS, MS Dentist NPI 1609458983
- Kenneth Grover, PA Physician Assistant NPI 1689393654
- Carl Odom, MD Radiology NPI 1740523513
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
-
RadiologyA radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
-
RadiologyA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.