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Contact Information

BOISE BRAIN AND BODY LLC
711 N CURTIS RD
BOISE, ID83706-1445
 Phone: 208-605-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Brain Injury Medicine

2081P0301X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BOISE BRAIN AND BODY LLC

NPI # 1073403051
LBN Legal business name BOISE BRAIN AND BODY LLC
Authorized official EDWARD ANTON - (SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2025
Last updated 04/29/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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