ERNEST A. LUCERO, MD PC
NPI 1912189697
General Practice in Bonners Ferry, ID

Q: What is Ernest A. Lucero, MD PC's NPI number?

The NPI number for Ernest A. Lucero, MD PC is 1912189697. It was assigned to this organization in the NPPES registry on December 4, 2007.

Q: What is Ernest A. Lucero, MD PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since December 04, 2007

6641 KANIKSU ST STE B, BONNERS FERRY, ID 83805(208) 267-2086(208) 267-4013 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ernest A. Lucero, Md Pc NPPES

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

ERNEST A. LUCERO, MD PC (NPI 1912189697) is a healthcare organization registered as a general practice in Bonners Ferry, Idaho and active in the NPI registry since December 2007. The organization lists Ernest Anthony Lucero, President, as its authorized official.

NPPES Registry Identity

NPI1912189697

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameERNEST A. LUCERO, MD PC

Location Address6641 KANIKSU ST STE BBonners Ferry, ID 83805-7532

Mailing Address6641 Kaniksu St Ste B, Po Box 898Bonners Ferry, ID 83805-7532 · (208) 267-2086 · Fax (208) 267-4013

Phone(208) 267-2086

Fax(208) 267-4013

Organization SubpartNo

Authorized OfficialErnest Anthony LuceroPresident · (208) 267-2086

Enumeration DateDecember 4, 2007

✔ NPI 1912189697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in ID · M5577

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

6641 KANIKSU ST STE B, Bonners Ferry, ID 83805

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE07077ID

Other000010003687ID · Blue Shield Of Idaho

OtherDA558Blue Cross Of Idaho

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ernest A. Lucero, MD PC's NPI number?

The NPI number for Ernest A. Lucero, MD PC is 1912189697. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Ernest A. Lucero, MD PC located?

Ernest A. Lucero, MD PC is located at 6641 Kaniksu St Ste B, Bonners Ferry, ID 83805. The listed phone number is (208) 267-2086.

What is Ernest A. Lucero, MD PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ernest A. Lucero, MD PC was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.