IndividualActive
Brandon Brevig, D.O.
NPI 1306057641 · Physical Medicine & Rehabilitation Physician · Boise, ID
Provider details
- NPI number
- 1306057641
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11-6037195 (NY)
Practice location
302 W Idaho St
Boise, ID 83702-6039
Phone: (208) 994-4962
Fax: (888) 913-3862
Mailing address
2032 E Sidewinder Dr
Meridian, ID 83646-5867
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2016-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.