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

Brent Leavitt

Individual provider Physician Assistant · NPI 1740650548

Brent Leavitt is a Physician Assistant in Chubbuck, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2015

Practice location Address checks out

4928 Pleasant View Dr
Chubbuck, ID 83202-1640
Phone: (208) 760-9416
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1299 (ID)

Record details

NPI number1740650548
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2015
Last updated in NPPESOctober 6, 2015
Mailing address4928 Pleasant View Dr, Chubbuck, ID 83202-1640

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