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

Brian Johnson, PA-C

Individual provider Physician Assistant · NPI 1730994484

Brian Johnson, PA-C is a Physician Assistant in Burley, Idaho. Qualified in 2024, 2 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1501 Hiland Ave Ste H
Burley, ID 83318-2688
Phone: (208) 677-6082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1730994484
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 10, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing addressPo Box 30180, Salt Lake City, UT 84130-0180

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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