Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Stockton, MD

Individual provider Family Medicine Physician · NPI 1124476072

Benjamin Stockton, MD is a Family Practice in Boise, Idaho. Graduated from East Tennessee State University Quillen College of Medicine in 2016, 10 years ago. Practices with Boundary Regional Community Health Center Inc, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
ID
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30410 Highway 200, Ponderay, ID 83852 — (208) 263-7101

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M14205 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MRM-1586 (ID)

Record details

NPI number1124476072
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2016
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021
Mailing addressPo Box 2160, Sandpoint, ID 83864-0908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Boundary Regional Community Health Center Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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