NPI age
19 years
Enumerated 2006-10-05
● Active Type 2 · Organization
Boise Basin Infertility & Gynecology, P.A.
Boise Basin Infertility & Gynecology, P.A. is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Krueger
President
Last NPPES update
2008-05-15
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
811 N 6th St
Boise, ID 837025545
Mailing address
811 N 6th St
Boise, ID 837025545
Authorized official
Philip M Krueger
President
📞 2083452006
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002515100 | |
| 05 (ID) | 002515101 | |
| 01 (ID) | DK093 | BLUE CROSS |
| 01 (ID) | 000010004456 | BLUE SHIELD |
| 05 (ID) | 002515102 |
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 305 Specialist providers in Idaho?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.