Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brandon Micah Brevig, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1306057641

Dr. Brandon Micah Brevig, DO is a Physical Medicine & Rehabilitation Physician in Boise, Idaho. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

302 W Idaho St
Boise, ID 83702-6039
Phone: (208) 994-4962
Fax: (888) 913-3862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 11-6037195 (NY)

Record details

NPI number1306057641
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 25, 2007
Last updated in NPPESJanuary 6, 2016
Mailing address2032 E Sidewinder Dr, Meridian, ID 83646-5867

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