Orthopaedic Surgery
BOISE SHOULDER CLINIC, PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1760581409 · enumerated 2006-09-21 · record updated 2012-02-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. CARL HUMPHREY MD, owner · (208) 639-4800
Other names: HUMPHREY SHOULDER CLINIC
Addresses and phones
- Mailing address 3381 W BAVARIA STREET, EAGLE, ID, 83616-5341 (208) 639-4800 Fax (208) 639-4801 Google Maps Apple Maps OpenStreetMap
- Practice location 3381 W BAVARIA STREET, EAGLE, ID, 83616-5341 (208) 639-4800 Fax (208) 639-4801 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X · Primary · License M9563 ID
In this directory
Locations and evidence
-
Practice location
EAGLE, ID, 836165341
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.