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

Bryan Richard Lowe

Individual provider Medical Physician Assistant · NPI 1245960467

Bryan Richard Lowe is a Physician Assistant in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

10583 W Lake Hazel Rd
Boise, ID 83709-6326
Phone: (208) 302-5950
Fax: (208) 302-5955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6051 W Emerald St, Boise, ID 83704-8969 — (208) 302-5150

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2238 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-2238 (ID)

Record details

NPI number1245960467
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2022
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Boise