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

Braden Lawrence, MD

Individual provider Internal Medicine Physician · NPI 1104454123

Braden Lawrence, MD is an Internal Medicine in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2020
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

10583 W Lake Hazel Rd
Boise, ID 83709-6326
Phone: (208) 302-5900
Fax: (208) 302-5955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 85 S Middleton Rd, Nampa, ID 83651 — (208) 381-4100

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence M-16829 (ID)

Record details

NPI number1104454123
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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