P Praxis·MD
● Active Type 1 · Individual

Renee A. Bourquard, MD

Surgery·Boise, ID· NPI 1790737591 · Enumerated 2006 · 20 years on NPI
Bourquard is 1 of 63 surgery providers in Boise and 1 of 260 in Idaho.
NPI age
20 years
Enumerated 2006-05-17
Primary specialty
Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-07-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 260 active surgery providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
100 Warm Springs Ave, Ste B
Boise, ID 837126243
📞 2083816930fax 2083816931
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083812222

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    ID license #M5303 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 4 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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