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

Dr. Nic R Cordum, MD

Individual provider Gastroenterology Physician · NPI 1205803756

Dr. Nic R Cordum, MD is a Gastroenterology Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
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

6259 W Emerald St
Boise, ID 83704-8731
Phone: (208) 489-1900
Fax: (208) 375-5286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence M6979 (ID)

Record details

NPI number1205803756
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 3, 2006
Last updated in NPPESSeptember 7, 2007

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