Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon C Mickelsen, DO

Individual provider Family Medicine Physician · NPI 1417987686

Brandon C Mickelsen, DO is a Family Practice in Pocatello, Idaho. Qualified in 2008, 18 years ago. Practices with Family Practice Group, PA, a 14-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
18
Licensed in
ID
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1951 Bench Rd Ste B
Pocatello, ID 83201-2073
Phone: (208) 238-1000
Fax: (208) 238-0009
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-0450 (ID)

Record details

NPI number1417987686
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESSeptember 22, 2011
Mailing address1951 Bench Rd, Suite B, Pocatello, ID 83201-2073

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Family Practice Group, P.A. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pocatello