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

Brody George Yardumian

Individual provider Physician Assistant · NPI 1801439815

Brody George Yardumian is a Physician Assistant in Boise, Idaho. Practices as a sole proprietor. Licensed in California and Idaho.

Licensed in
CA, ID
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1475 N Cole Rd
Boise, ID 83704-8537
Phone: (208) 955-6500
Fax: (208) 955-6503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1844 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 57238 (CA)

Record details

NPI number1801439815
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 22, 2019
Last updated in NPPESJuly 2, 2021
Certification dateJuly 2, 2021

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