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Deactivated NPI 1992777809 Deactivated / Inactive NPI Male Practitioner

Dr. Paul Michael Obrien , MD

Specialist • Boise, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Obrien has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 03, 2006
NPI Deactivation Date December 26, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Obrien, MD was a registered Specialist practicing in Boise, ID. Throughout an active medical career spanning 12 years, Dr. Obrien provided care at the practice location at 901 N. CURTIS #101 until profile deactivation on 2018-12-26.

Practice Location & Contact Primary Location

Practice Address

901 N. Curtis #101

Boise, ID 837061339

Telephone 2083672802
Fax 2083758755
Associated Practice Facility / Clinic
🏢 Michael Obrien Md Pa Facility NPI 1558517102

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.5 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
51 Specialists

Practicing in Boise, ID (194 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ID M2977

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 26, 2018

Record deactivated on December 26, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 901 N. CURTIS #101, BOISE, ID 837061339 (Tel: 2083672802)

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Updated Business Mailing Address July 08, 2007

Registered at 901 N. CURTIS #101, BOISE, ID 837061339 (Tel: 2083672802)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL OBRIEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #M2977 in ID)

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Initial NPI Registration & Enumeration February 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992777809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2006
Last Update: July 08, 2007
Deactivation Date: December 26, 2018

Mailing Address

901 N. Curtis #101

Boise, ID 837061339

Phone: 2083672802

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.