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

Glenn C Bothwell, MD

Individual provider Occupational Medicine Physician · NPI 1235183054

Glenn C Bothwell, MD is an Occupational Medicine 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

703 S Americana Blvd
Boise, ID 83702-5099
Phone: (208) 706-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence M3165 (ID)

Record details

NPI number1235183054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESFebruary 16, 2011
Mailing address190 E Bannock St, Boise, ID 83712-6241

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