OrganizationActive
Boise Brain and Body LLC
NPI 1073403051 · Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician · Boise, ID
Provider details
- NPI number
- 1073403051
- Entity type
- Organization
- Primary specialty
- Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Anton, Sole Member(440) 465-0568
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
711 N Curtis Rd
Boise, ID 83706-1445
Phone: (208) 605-3000
Approximate (ZIP-level) locationGet directions
Mailing address
6568 S Federal Way # 238
Boise, ID 83716-9277
Registry dates
- Enumerated
- 2025-07-09
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.