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

Charles Edward Brioschi Jr., PA

Individual provider Medical Physician Assistant · NPI 1083086870

Charles Edward Brioschi Jr., PA is a Medical Physician Assistant in Fruitland, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

910 NW 16th St Ste 205
Fruitland, ID 83619-2265
Phone: (208) 452-3111
Fax: (208) 452-3666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-1317 (ID)

Record details

NPI number1083086870
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 20, 2015
Last updated in NPPESFebruary 17, 2016

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