NPI 1124067566
Brent Kenner Childers, MD
Practice location
- Address
- 8800 W Emerald St, Boise, ID 83704-8205
- Phone
- (208) 373-5000
- Mailing address
- PO Box 4008, Portland, OR 97208-4008
Registered specialties
Anesthesiology Physician
Primary
Registry record
- NPI
- 1124067566
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Jun 2006
- Record last updated
- 13 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.