What is Nic Cordum's NPI number?

Nic Cordum's National Provider Identifier (NPI) is 1205803756, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nic Cordum's specialty?

Nic Cordum is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).

Where is Nic Cordum located?

Nic Cordum's practice location on file with NPPES is 6259 W Emerald St, Boise, ID 83704-8731.

What is Nic Cordum's phone number?

The practice phone number listed in the NPPES registry for Nic Cordum is (208) 489-1900.

Is Nic Cordum's NPI active?

Yes — Nic Cordum's NPI (1205803756) is active in the NPPES registry as of the last update on 2007-09-07.

IndividualActive

Nic Cordum, M.D.

NPI 1205803756 · Gastroenterology Physician · Boise, ID

Nic Cordum, M.D. is a Gastroenterology Physician provider in Boise, ID (NPI 1205803756).

Provider details

NPI number: 1205803756
Entity type: Individual
Primary specialty: Gastroenterology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: M6979 (ID)

Specialties & taxonomies

Gastroenterology PhysicianPrimary207RG0100XLicense M6979 (ID)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 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

6259 W Emerald St

Boise, ID 83704-8731

Phone: (208) 489-1900

Fax: (208) 375-5286

Street-level locationGet directions

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Mailing address