Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK C BRUNER III, MD
ActiveJACK C BRUNER III, MD is a Family Medicine healthcare provider located in BOISE, Idaho. NPI 1578355806 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BOISE, ID
Registration Details
- NPI Number
- 1578355806
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2025 (1.2245021194022 yrs)
- Last Updated
- May 21, 2025
- License
-
5071560 (ID)
Practice Information
- Address
-
777 N RAYMOND STBOISE, ID, 837049251Browse ID providers · Browse ZIP 83704
- Phone
- 2085142500
- Fax
- 2083752217
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY KARL EDWARDS | MD | 1578566253 |
| STEPHEN C MARTINEZ | MD | 1154362804 |
| DR. RONALD SCOTT HIGGINBOTHAM | D.O. | 1760486138 |
| DR. DONALD DAVID HARTMAN SR. | MD | 1588669410 |
| DR. SCOTT ALLEN SHAPPARD SR. | DO | 1649275587 |
| MS. LOIS R. NISKA | DO | 1922004878 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.