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

Brant Jaouen, MD

Individual provider Emergency Medicine Physician · NPI 1417301433

Brant Jaouen, MD is an Emergency Medicine in Boise, Idaho. Qualified in 2016, 10 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Idaho.

Years since qualifying
10
Licensed in
AZ, ID
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2235
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2601 E Roosevelt St, Phoenix, AZ 85008-4973 — (602) 344-5808

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MC-1553 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 56434 (AZ)

Record details

NPI number1417301433
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2016
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 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 specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Boise