NPIMap

Individual provider Active NPI

Brenton David Baldwin, MD

  • Family Medicine Physician
  • Caldwell, ID
National Provider Identifier
1649610528
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-12650 Issued in ID
Practice address
712 Aviation Way
Caldwell, ID 83605-1154
Phone
(208) 302-7100
Fax
(208) 302-7155
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MRM-1329 ID
Family Medicine Physician 207Q00000X M-12650 ID Primary

Addresses

Primary practice location

712 Aviation Way
Caldwell, ID 83605-1154

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 302-7100

Other practice location 1

315 E Elm
Ste 100
Caldwell, ID 83605
Phone (208) 302-7100

Other practice location 2

1150 N Sister Catherine Way
Nampa, ID 83687-3133
Phone (208) 302-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160630001904 ID Practitioner - Family Practice 9739405606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center Inc 672 clinicians

Practice addresses (Care Compare)

1150 N Sister Catherine Way
Nampa, ID 83687-3133
Phone (208) 302-7000

3025 W Cherry LN
Meridian, ID 83642-8531

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 302-1035

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • West Valley Medical Center Hospital, Caldwell, ID, CCN 130014
  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-12650IDMDFamily Medicine Physician
MRM-1329IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2016 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients

Locations

712 Aviation Way
Caldwell, ID 83605
Phone (208) 302-7100

315 E Elm St
Ste 100
Caldwell, ID 83605
Phone (208) 302-7100

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

1150 N Sister Catherine Way
Nampa, ID 83687
Phone (208) 302-7000

Interoperability endpoints

  • Direct secure messaging: bbaldwin1563345@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1649610528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-302-7100",
            "fax_number": "208-302-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 AVIATION WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836051154",
            "telephone_number": "208-302-7100",
            "fax_number": "208-302-7155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E Elm",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "83605",
            "country_code": "US",
            "telephone_number": "208-302-7100",
            "fax_number": "208-302-7216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 N Sister Catherine Way",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836873133",
            "country_code": "US",
            "telephone_number": "208-302-7000",
            "fax_number": "208-302-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "BRENTON",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM-1329",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-12650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.