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

Brandon Dee Tanner, PA

Individual provider Physician Assistant · NPI 1750667762

Brandon Dee Tanner, PA is a Physician Assistant in Twin Falls, Idaho. Qualified in 2011, 15 years ago. Practices with Family Health Services Corporation, a 48-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

388 Martin St
Twin Falls, ID 83301-4544
Phone: (208) 734-0451
Fax: (208) 734-0452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1058 (ID)

Record details

NPI number1750667762
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2011
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing address794 Eastland Dr, Twin Falls, ID 83301-6856

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Family Health Services Corporation — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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