OrganizationActive
Robert L. Davidson, M.D. PLLC
NPI 1124357645 · Nephrology Physician · Meridian, ID
Provider details
- NPI number
- 1124357645
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Davidson, Physician Owner(208) 890-9539
- License
- M7907 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
520 S Eagle Rd
Suite 1245
Meridian, ID 83642-6351
Phone: (208) 890-2539
Fax: (208) 939-2698
Street-level locationGet directions
Mailing address
13601 W Mcmillan Rd
Boise, ID 83713-2071
Registry dates
- Enumerated
- 2009-12-11
- Last updated
- 2009-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.