Jeffery J. Gilbertson, M.D.
in Boise, ID. Individual provider (NPI-1).
NPI number1790738516
StatusActive
Last updated in NPPESJul 31, 2013
Details
- NPI
- 1790738516
- Entity type
- Individual (NPI-1)
- Name
- Jeffery J. Gilbertson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2006
- Last updated
- Jul 31, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - VASCULAR SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | M-5904 | ID | Yes |
Practice location
333 N 1st StSuite 280
Boise, ID 83702-6100
Phone 208-345-6545 · Fax 208-345-1213
Mailing address
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-2222
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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