Idaho Falls Dermatology P a
NPI 1487700464 · Specialist · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho Falls Dermatology P a is a Specialist organization in Idaho Falls, ID (NPI 1487700464).
Provider details
- NPI number
- 1487700464
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Cornelius Brooke, M.D.(208) 522-8945
- License
- 5809M (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2016-07-05
Frequently asked questions
- What is Idaho Falls Dermatology P a's NPI number?
- Idaho Falls Dermatology P a's National Provider Identifier (NPI) is 1487700464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Falls Dermatology P a?
- Idaho Falls Dermatology P a is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Idaho Falls Dermatology P a located?
- Idaho Falls Dermatology P a's practice location on file with NPPES is 2001 S Woodruff Ave, Idaho Falls, ID 83404-6374.
- What is Idaho Falls Dermatology P a's phone number?
- The practice phone number listed in the NPPES registry for Idaho Falls Dermatology P a is (208) 522-8945.
- Does Idaho Falls Dermatology P a accept Medicare?
- Idaho Falls Dermatology P a is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Idaho Falls Dermatology P a?
- The authorized official listed on Idaho Falls Dermatology P a's NPPES record is Cornelius Brooke, M.D.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Falls Dermatology P a's NPI active?
- Yes — Idaho Falls Dermatology P a's NPI (1487700464) is active in the NPPES registry as of the last update on 2016-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.