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

Brandon Hanley

Individual provider Family Medicine Physician · NPI 1629508288

Brandon Hanley is a Family Practice in Caldwell, Idaho. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2019, 7 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
ID
In the registry since
2017
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Practice location Address checks out

1906 Fairview Ave Ste 350
Caldwell, ID 83605-5425
Phone: (208) 505-2101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-1730 (ID)

Record details

NPI number1629508288
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2017
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Caldwell