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

Dr. Jeremy David Waldram, MD

Individual provider Internal Medicine Physician · NPI 1396972311

Dr. Jeremy David Waldram, MD is an Allergy/Immunology in Boise, Idaho. Graduated from University of Southern California Keck School of Medicine in 2009, 17 years ago. Practices with Allergy Group PC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Indiana.

Years since qualifying
17
Trained at
University of Southern California Keck School of Medicine
Licensed in
ID, IN
In the registry since
2009
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

1000 N Curtis Rd Ste 303
Boise, ID 83706-1347
Phone: (208) 377-4000
Show map & directions

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

Additional practice locations (1)

  • Naval Medical Ctr, San Diego, CA 92134-5000 — (619) 216-0466

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence M-15024 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01069478A (IN)

Record details

NPI number1396972311
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2009
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Allergy Group Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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