OrganizationActive
Boise Family Medicine Center
NPI 1376747790 · Family Medicine Physician · Boise, ID
Provider details
- NPI number
- 1376747790
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dale Mock, Owner/Physician(208) 377-3368
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
10798 W. Overland Rd
Boise, ID 83709-1329
Phone: (208) 377-3368
Fax: (208) 322-4691
Street-level locationGet directions
Mailing address
10798 W. Overland Rd
Boise, ID 83709-1329
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2010-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.