NPI age
13 years
Enumerated 2013-03-31
● Active
Type 1 · Individual
Carl Irwin Odom, MD
Odom is 1 of 91 radiology providers in Boise and 1 of 248 in Idaho.
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 248 active radiology providers in Idaho.
NPI age
13 years
↓ 6 yr below median (19 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-03Enumerated in NPPES
2013
2026
Where they practice
Practice location
620 W Hays St
Boise, ID 837025511
Mailing address
12554 Riata Vista Cir
Austin, TX 787276431
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 371653203 |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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