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

Brent D. Kooy, PA

Individual provider Medical Physician Assistant · NPI 1033261458

Brent D. Kooy, PA is a Physician Assistant in Meridian, Idaho. Qualified in 2004, 22 years ago. Practices with Direct Orthopedic Care LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
22
Licensed in
ID, WA
In the registry since
2007
Specialties on file
4
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

3015 E Magic View Dr
Meridian, ID 83642
Phone: (208) 482-5550
Fax: (208) 482-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-2774 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10004744 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-2774 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA10004744 (WA)

Record details

NPI number1033261458
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Direct Orthopedic Care Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Meridian