Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN FEUERBORN, D.O.
ActiveETHAN FEUERBORN, D.O. is a Sports Medicine (IM) healthcare provider located in BOISE, Idaho. NPI 1629418280 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · BOISE, ID
Registration Details
- NPI Number
- 1629418280
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2013 (13.16114410515 yrs)
- Last Updated
- Aug 5, 2025
- License
-
O-1045 (ID)
Practice Information
- Address
-
7272 W POTOMAC DRBOISE, ID, 837049149Browse ID providers · Browse ZIP 83704
- Phone
- 2088842922
- Fax
- 2088842923
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
Other Sports Medicine (IM) Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL D LOWERY | MD | 1649372251 |
| BRETT TROYER | MD | 1841385523 |
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.