P Praxis·MD
● Active Type 1 · Individual

DR. Erik David Sibbernsen, M.D.

Internal Medicine·Eagle, ID· NPI 1750791471 · Enumerated 2014 · 12 years on NPI
Sibbernsen is 1 of 16 internal medicine providers in Eagle and 1 of 504 in Idaho.
NPI age
12 years
Enumerated 2014-05-02
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
ID, IN, OR
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 504 active internal medicine providers in Idaho.

NPI age
12 years
↓ 4 yr below median (16 yr)
State licenses
3 states
Top 76% — 23% of peers are multi-state
Subspecialties
2
In the 44% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-05Enumerated in NPPES
2014 2026

Where they practice

Practice location
3101 E State St Ste 2120
Eagle, ID 836166232
📞 2084733275fax 2084733276
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2088138752

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    ID license #M-17816 taxonomy 207R00000X
  • Military Health Care Provider
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    IN license #01075639A taxonomy 171000000X
  • Student in an Organized Health Care Education/Training Program
    An 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.
    OR license #PG168052 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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