Active NPI
Alexander Combs, DO
- Family Medicine Physician
- Boise, ID
National Provider Identifier
1306331186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O-1830
- Practice address
- 7722 W Ustick Rd
Boise, ID 83704-5845 - Phone
- (208) 322-1325
- Fax
- (208) 327-0393
- NPI assigned
- Jun 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | O-1830 | ID | Primary |
Addresses
Primary practice location
7722 W Ustick Rd
Boise, ID 83704-5845
Mailing address
7722 W Ustick Rd
Boise, ID 83704-5845
Phone (208) 322-1325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-1830 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Health | Family Medicine | Current | Accepting new patients |
| Intermountian Pediatric Clinic PA | Family Medicine | Current | Accepting new patients |
Locations
7722 W Ustick Rd
Boise, ID 83704
Phone (208) 322-1325
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Boise, ID
- NPI 1093551319
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1306331186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7722 W USTICK RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837045845",
"telephone_number": "208-322-1325",
"fax_number": "208-327-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7722 W USTICK RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837045845",
"telephone_number": "208-322-1325",
"fax_number": "208-327-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "ALEXANDER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-25",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "O-1830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.