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

Brenda J Shaw, PA

Individual provider Physician Assistant · NPI 1679642037

Brenda J Shaw, PA is a Physician Assistant in Idaho Falls, 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.

See every abbreviation used in this directory →

Practice location Address checks out

1660 John Adams Pkwy
Idaho Falls, ID 83401-4360
Phone: (208) 523-8844
Fax: (208) 529-8684
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA587 (ID)

Record details

NPI number1679642037
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESDecember 15, 2009

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