OrganizationActive
Beacon Pain Clinic
NPI 1477941672 · Interventional Pain Medicine Physician · Boise, ID
Provider details
- NPI number
- 1477941672
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rebekah Guy, Physician(208) 342-2104
- License
- M9987 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
115 W Main St
102
Boise, ID 83702-7302
Phone: (208) 342-2104
Fax: (208) 342-4710
Street-level locationGet directions
Mailing address
115 W Main St
Boise, ID 83702-7302
Registry dates
- Enumerated
- 2014-12-23
- Last updated
- 2014-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.