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

Dr. Praveen Bere, MD

Individual provider Internal Medicine Physician · NPI 1265710305

Dr. Praveen Bere, MD is a Hospitalist in Boise, Idaho. Qualified in 2008, 18 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, New Mexico and Texas.

Years since qualifying
18
Licensed in
ID, NM, TX
In the registry since
2011
Specialties on file
3
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

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-5015
Fax: (208) 381-1873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 — (575) 521-5457

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 5561374 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence BP10040139 (TX)
Hospitalist Physician Taxonomy 208M00000X · Licence MD2014-0084 (NM)

Record details

NPI number1265710305
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2011
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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