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

Brandon Lane, PA

Individual provider Emergency Medicine Physician · NPI 1689606667

Brandon Lane, PA is an Emergency Medicine Physician in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
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

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone: (208) 459-4641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence PA-413 (ID)

Record details

NPI number1689606667
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 8, 2007

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