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

Dr. Brock Arben Andersen, MD

Individual provider Dermatology Physician · NPI 1558349852

Dr. Brock Arben Andersen, MD is a Dermatology in Fruitland, Idaho. Qualified in 2004, 22 years ago. Practices with Snake River Dermatology, PA, a 4-clinician group and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
22
Licensed in
CA, ID
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2101 N Whitley Dr
Fruitland, ID 83619-2132
Phone: (208) 452-5999
Fax: (208) 452-4499
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence M-11642 (ID)
Dermatology Physician Taxonomy 207N00000X · Licence A 93571 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence M-11462 (ID)

Record details

NPI number1558349852
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 6, 2006
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing address2101 N Whitley Dr, Fruitland, ID 83619-2132

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Snake River Dermatology, Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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