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CHARLES E BOULT MD
NPI 1962468025
Internal Medicine - Geriatric Medicine in Boise, ID

Active since April 26, 2006
5966 W CURTISIAN AVE, BOISE, ID 83706(208) 302-5400(208) 302-5455 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles E Boult Md NPPES

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

CHARLES E BOULT MD (NPI 1962468025) is an individual geriatric medicine provider in Boise, Idaho, licensed in Idaho (M-13173) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1962468025
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameCHARLES E BOULTCredential: MD
Location Address5966 W CURTISIAN AVEBoise, ID 83706
Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 302-5400 · Fax (208) 302-5455
Phone(208) 302-5400
Fax(208) 302-5455
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateMay 23, 2016
✔ NPI 1962468025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses✔ Licensed in ID · M-13173✔ Licensed in MD · D57945
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
5966 W CURTISIAN AVE, Boise, ID 83706
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Other Identifiers 1

Medicaid687003100MD

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 Charles Boult's NPI number?

The NPI number for Charles Boult is 1962468025. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Charles Boult located?

Charles Boult practices at 5966 W Curtisian Ave, Boise, ID 83706. The listed phone number is (208) 302-5400.

What is Charles Boult's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Charles Boult was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.