NPI age
20 years
Enumerated 2006-04-26
● Active
Type 1 · Individual
Charles E Boult, MD
Boult is 1 of 7 internal medicine providers in Boise and 1 of 10 in Idaho.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID, MD
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-05-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 10 active internal medicine providers in Idaho.
NPI age
20 years
↑ 4 yr above median (15 yr)
State licenses
2 states
Top 60% — 40% of peers are multi-state
Subspecialties
0
90% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Practice location
5966 W Curtisian Ave
Boise, ID 83706
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
Specialties
-
Internal Medicine PrimaryAn internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MD) | 687003100 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 10 Internal Medicine providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.