OrganizationActive
Boise Dermatology
NPI 1417495615 · Dermatology Physician · Meridian, ID
Provider details
- NPI number
- 1417495615
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Naomi Brooks, Dermatolgist(202) 716-0051
- License
- M-11311 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3109 S Meridian Rd
Meridian, ID 83642-7088
Phone: (202) 716-0051
Street-level locationGet directions
Mailing address
3109 S Meridian Rd
Meridian, ID 83642-7088
Registry dates
- Enumerated
- 2017-02-07
- Last updated
- 2017-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.