SearchIdahoPhysical Medicine & Rehabilitation Physician

Brandon Brevig, D.O

NPI 1306057641 · on the registry since 2007 · sole proprietor

Practice

Address
302 W Idaho St
Boise, ID 83702
Phone
(208) 994-4962
Fax
(888) 913-3862
Organisation at this address
Sparkmd
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Physical Medicine & Rehabilitation Physician
208100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho