IndividualActive
Brian Mcmahan, M.D.
NPI 1043501273 · Diagnostic Radiology Physician · Boise, ID
Provider details
- NPI number
- 1043501273
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD-43449 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2094
Fax: (208) 381-1791
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1108
Corvallis, OR 97339-1108
Registry dates
- Enumerated
- 2011-04-21
- Last updated
- 2018-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.