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

Dr. Marvin Carson Alviso, MD

Individual provider Family Medicine Physician · NPI 1932365533

Dr. Marvin Carson Alviso, MD is a Family Practice in Boise, Idaho. Qualified in 2004, 22 years ago. Practices with Full Circle Health Inc, a 109-clinician group and accepts Medicare assignment. Licensed in Idaho and Michigan.

Years since qualifying
22
Licensed in
ID, MI
In the registry since
2008
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.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-11390 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301092447 (MI)

Record details

NPI number1932365533
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 3, 2008
Last updated in NPPESFebruary 4, 2014
Mailing address777 N Raymond St, Boise, ID 83704-9251

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Full Circle Health Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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