BOISE BRAIN AND BODY LLC - NPI 1073403051 - Physical Medicine & Rehabilitation in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Physical Medicine & Rehabilitation with taxonomy code 2081P0301X and a focus in Brain Injury Medicine.

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About Boise Brain And Body Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOISE BRAIN AND BODY LLC (NPI 1073403051) is a healthcare organization registered as a brain injury medicine in Boise, Idaho and active in the NPI registry since July 2025. The organization lists Edward A Anton, Owner, as its authorized official.

NPPES Registry Identity

NPI1073403051

Entity TypeOrganization

Primary Taxonomy2081P0301X

Legal Business NameBOISE BRAIN AND BODY LLC

Location Address711 N CURTIS RDBoise, ID 83706-1445

Mailing Address6568 S Federal Way # 238Boise, ID 83716-9277 · (818) 861-6481

Phone(208) 605-3000

Organization SubpartNo

Authorized OfficialEdward A AntonOwner · (818) 861-6481

Enumeration DateJuly 9, 2025

Last NPPES UpdateJune 17, 20262 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1073403051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Brain Injury MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0301X

Definition

A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.

711 N CURTIS RD, Boise, ID 83706

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP