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

Jacob Momberger, MD

Individual provider Internal Medicine Physician · NPI 1356057863

Jacob Momberger, MD is an Internal Medicine Physician in Boise, Idaho. Licensed in Idaho and Utah. Registered with an NPI since 2023.

Licensed in
ID, UT
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 8071360 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence 390200000X (UT)

Record details

NPI number1356057863
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2023
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address777 N Raymond St, Boise, ID 83704-9251

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