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

Brandon Rysavy, DO

Individual provider Internal Medicine Physician · NPI 1396154381

Brandon Rysavy, DO is an Internal Medicine Physician in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho and West Virginia.

Licensed in
ID, WV
In the registry since
2014
Specialties on file
2
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.

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Practice location Address checks out

500 W Fort St # 111
Boise, ID 83702
Phone: (208) 422-1000
Fax: (208) 422-1319
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence O-1196 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence ED0475A (WV)

Record details

NPI number1396154381
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 5, 2014
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022
Mailing address500 W. Fort St., 111, Boise, ID 83702

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