Brandon Micah Brevig in Boise - Physical Medicine & Rehabilitation
Brandon Micah Brevig - NPI 1306057641
Brandon Micah Brevig is a Physical Medicine & Rehabilitation in Boise, Idaho. Brandon Micah Brevig practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Brandon Micah Brevig is 1306057641. The last update date is 2016-01-06.
Brandon Micah Brevig's current location address is 302 W Idaho St, Boise, Idaho. You can contact this provider via phone number 2089944962 and fax number 8889133862. The mailing address for Brandon Micah Brevig is 302 W Idaho St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Micah Brevig |
|---|---|
| Address | 302 W Idaho St, Boise, Idaho |
| Phone Number | 2089944962 |
| Fax Number | 8889133862 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1306057641 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2016-01-06 |
Provider Mailing Address Detail
| Address | 302 W Idaho St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837026039 |
| Phone Number | 2089944962 |
| Fax Number | 8889133862 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Medicine & Rehabilitation |
|---|---|
| Taxonomy | 208100000X |
| Licence No | 11-6037195 |
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Definition: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11-6037195 | NY | GERALD TEPLITZ, DO |
Post Comment/ Review Below
What is the unique identification code assigned to Brandon Micah Brevig by the Centers for Medicare & Medicaid Services?
The Brandon Micah Brevig has been issued the NPI (National Provider Identifier) 1306057641. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brandon Micah Brevig is geographically located?
The Brandon Micah Brevig is physically situated at the following location: 302 W Idaho St, Boise, ID, 837026039.
What is the Brandon Micah Brevig's specialty and taxonomy code?
The Brandon Micah Brevig's specialty is Physical Medicine & Rehabilitation, and the corresponding taxonomy code is 208100000X.
On what date did the Brandon Micah Brevig receive the assignment of its 1306057641 from the Centers for Medicare & Medicaid Services?
The Brandon Micah Brevig was issued its 1306057641 by the Centers for Medicare & Medicaid Services on 2007-05-25.
As of what date were the details related to Brandon Micah Brevig most recently updated or revised?
The information pertaining to Brandon Micah Brevig, including its address, specialty, and other relevant details, was last updated or revised on 2016-01-06.