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

Individual provider Physician Assistant · NPI 1669897989

Bryant Hansen, PA-C is a Physician Assistant in Rexburg, Idaho. Qualified in 2013, 13 years ago. Practices with Upper Valley Community Health Services Inc, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2014
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

72 S 1st E Ste 101
Rexburg, ID 83440-1965
Phone: (208) 356-4900
Fax: (208) 356-3724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 450 E Main St, Rexburg, ID 83440-2048 — (208) 356-3691
  • 335 E Main St Ste 1, Saint Anthony, ID 83445-1546 — (208) 356-4900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1148 (ID)

Record details

NPI number1669897989
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2014
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing addressPo Box 18, Saint Anthony, ID 83445-0018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Upper Valley Community Health Services Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rexburg