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NPI 1982632550
● Active Type 2 · Organization
Family Practice Residency Of Idaho, Inc
Family Medicine · Boise, ID · NPI 1982632550
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Enumerated 2006 · 19 years on NPI
Family Practice Residency Of Idaho, Inc is 1 of 1691 family medicine organizations in Idaho.
NPI age
19 years
Enumerated 2006-06-30
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Epperly
Chairman And Program Director
Last NPPES update
2008-01-30
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-06 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
777 N Raymond St
Boise, ID 837049251
📞 2083676030 fax 2083676123
Mailing address
777 N Raymond St
Boise, ID 837049251
📞 2083676030 fax 2083676123
Authorized official
Ted Epperly, M.D.
Chairman And Program Director
📞 2083676042
Individual providers at this organization
20 individual providers on file at this primary practice address.
Tracy Adams , DO
Family Medicine
NPI 1003438730
Dora Aguayo , PHARMD
Pharmacist
NPI 1245965987
Tom Ahlrichs , LCSW
Social Worker
NPI 1013135078
Katie Allan , MD
Family Medicine
NPI 1871348367
Suzanne Allen , M.D.
Family Medicine
NPI 1346286044
Kierney Allsop , MD
Family Medicine
NPI 1922853415
Marvin Alviso , MD
Family Medicine
NPI 1932365533
Jennifer Anthony , RD
Dietitian, Registered
NPI 1760156152
Justin Bailey , MD
Family Medicine
NPI 1659484509
Dannica Ballard , DO
Family Medicine
NPI 1447946108
Angela Bangs , MD
Family Medicine
NPI 1093337727
Emily Barnes , MD
Family Medicine
NPI 1770147159
Allison Bastian , MD
Family Medicine
NPI 1164862058
Carlos Bautista , MD
Family Medicine
NPI 1134417272
Ann Beach , MD
Family Medicine
NPI 1912968892
Madeline Bernardo
Family Medicine
NPI 1447965926
Zara Bowden , MD
Family Medicine
NPI 1457973182
Shannon Boyer , NP
Nurse Practitioner
NPI 1770744609
William Brandenburg , MD
Family Medicine
NPI 1619325180
Perry Brown , M.D.
Pediatrics
NPI 1720024060
Specialties
Family Medicine
Primary
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
taxonomy 207Q00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.