Active NPI
Preston Boyd Christensen, MD
- Family Medicine Physician
- Soda Springs, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-17793
- Practice address
- 300 South 3Rd East
Soda Springs, ID 83276 - Phone
- (208) 547-2916
- Fax
- (801) 387-5333
- NPI assigned
- Mar 26, 2021
- Last updated
- Jun 5, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | M-17793 | ID | Primary |
Addresses
Primary practice location
300 South 3Rd East
Soda Springs, ID 83276
Mailing address
300 South 3Rd East
Soda Springs, ID 83276
Phone (208) 547-2916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Miami, LM Miller School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Caribou Memorial Hospital
Practice addresses (Care Compare)
300 S 3Rd
Soda Springs, ID 83276-1559
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-17793 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Caribou Medical Center, Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Caribou Medical Center, Inc | Current | Accepting new patients |
Locations
300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
2400 N Washington Blvd
Ogden, UT 84414
Phone (801) 387-8300
4403 Harrison Blvd
Ste 700A
Ogden, UT 84403
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Caribou Medical Center
- Critical Access Hospital
- Soda Springs, ID
- NPI 1942970272
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Lakeview Medical Clinic
- Rural Health Clinic/Center
- Soda Springs, ID
- NPI 1548930878
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Caribou Medical Center
- Critical Access Hospital
- Soda Springs, ID
- NPI 1942970272
-
dba Portneuf Rehabilitation Center
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
dba Portneuf Medical Center
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1376120253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SOUTH 3RD EAST",
"city": "SODA SPRINGS",
"state": "ID",
"postal_code": "83276",
"telephone_number": "208-547-2916",
"fax_number": "208-547-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SOUTH 3RD EAST",
"city": "SODA SPRINGS",
"state": "ID",
"postal_code": "83276",
"telephone_number": "208-547-2916",
"fax_number": "801-387-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "PRESTON",
"middle_name": "BOYD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-26",
"last_updated": "2025-06-05",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-17793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soda Springs, ID
- Caribou Medical Center, Inc. (Caribou Medical Center)
- Caribou Memorial Hospital
- Caribou Memorial Hospital
- Caribou Memorial Hospital
- Caribou Memorial Hospital
- Terry Lee Christensen, LMT
- Patricia Conner
- Douglas P. Cox, P.T.
- Eastman Drug Company Inc (Eastman Drug Store)
- Edgewood Spring Creek Soda Springs, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.