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

Dr. Nicholas T. Gamboa, MD

Individual provider Neurological Surgery Physician · NPI 1043716913

Dr. Nicholas T. Gamboa, MD is a Neurosurgery in Boise, Idaho. Graduated from University of Utah School of Medicine in 2018, 8 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Oregon.

Years since qualifying
8
Trained at
University of Utah School of Medicine
Licensed in
ID, OR
In the registry since
2018
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

1072 N Liberty St Ste 200
Boise, ID 83704-8963
Phone: (208) 302-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3325 Pocahontas Rd, Baker City, OR 97814-1464 — (541) 523-6461

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 6471162 (ID)
Neurological Surgery Physician Taxonomy 207T00000X · Licence MD225480 (OR)

Record details

NPI number1043716913
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2018
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing addressPo Box 190930, Boise, ID 83719-0930

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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