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

Carl Irwin Odom, MD

Individual provider Diagnostic Radiology Physician · NPI 1740523513

Carl Irwin Odom, MD is a Diagnostic Radiology in Boise, Idaho. Graduated from University of Alabama School of Medicine in 2013, 13 years ago. Practices with Weiser Valley Hospital District, a 60-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Trained at
University of Alabama School of Medicine
Licensed in
TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

620 W Hays St
Boise, ID 83702-5511
Phone: (208) 381-2094
Fax: (208) 381-1791
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence T0301 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740523513
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2013
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address12554 Riata Vista Cir, Austin, TX 78727-6431

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesNUCLEAR MEDICINE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Weiser Valley Hospital District — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boise