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NPI 1477547370

IndividualActive

Alex Bormann, M.D.

NPI 1477547370 · Psychiatry Physician · Boise, ID

Provider details

NPI number: 1477547370
Entity type: Individual
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: L3247 (TX)

Practice location

4696 W Overland Rd

Suite 228

Boise, ID 83705-2845

Phone: (208) 343-4383

Fax: (208) 343-1482

More ID providers

Mailing address

4696 W Overland Rd

Boise, ID 83705-2845

Registry dates

Enumerated: 2005-09-07
Last updated: 2015-04-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alex Bormann, M.D. — NPI 1477547370, Boise, ID | NPI Central