P Praxis·MD
● Active Type 1 · Individual

DR. Daniel Peter Gibson, M.D.

Radiology·Boise, ID· NPI 1952477929 · Enumerated 2006 · 19 years on NPI
Gibson is 1 of 7 radiology providers in Boise and 1 of 23 in Idaho.
NPI age
19 years
Enumerated 2006-11-28
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
ID, WI
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-01-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 23 active radiology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 73% — 26% of peers are multi-state
Subspecialties
2
In the 69% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
333 N 1st St Ste 250
Boise, ID 837026132
📞 2083819384fax 2083819385
Mailing address
13345 Illinois St
Carmel, IN 460323318
📞 3173961300

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2301 N Lake Dr
Milwaukee, WI 532114508
📞 4145853223
Location 3
13345 Illinois St
Carmel, IN 460323318
📞 3173961300fax 3173523417

Specialties

  • Radiology Primary
    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
    ID license #M-17359WI license #65310 taxonomy 2085R0204X
  • Radiology
    A 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.
    WI license #65310 taxonomy 2085N0700X
  • Radiology
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    WI license #65310 taxonomy 2085R0202X

Identifiers

TypeValueNotes
05 (ID) M-17359
05 (TN) Q006012
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 8 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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