IndividualActive
Leonardo Brasiliense, MD
NPI 1689052664 · Neurological Surgery Physician · Boise, ID
Provider details
- NPI number
- 1689052664
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD61270647 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1072 N Liberty St Ste 200
Boise, ID 83704-8963
Phone: (208) 302-4100
Fax: (208) 302-4135
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (1)
- 550 17th Ave Ste 110Seattle, WA 98122-5789Phone: (206) 320-3470Fax: (206) 320-3471
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.