Idaho Sleep Specialists, PC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

IDAHO SLEEP SPECIALISTS, PC

Practice address

403 S 11TH St
Suite 210
Boise, ID 83702-6969

Phone

(208) 895-0411

Fax

(208) 895-0406

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Brett Troyer, M.D.

Title

Owner/President

Phone

(208) 895-0411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1720173628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S 11TH ST",
            "address_2": "SUITE 210",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026969",
            "telephone_number": "208-895-0411",
            "fax_number": "208-895-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S 11TH ST",
            "address_2": "SUITE 210",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026969",
            "telephone_number": "208-895-0411",
            "fax_number": "208-895-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO SLEEP SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "TROYER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-895-0411",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Internal Medicine) Physician in Boise, ID
• Providers in Boise, ID by specialty
• Sleep Medicine (Internal Medicine) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.