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

Mr. Brian D Friedt, PHYSICIANSASSISTANT

Individual provider Physician Assistant · NPI 1568499713

Mr. Brian D Friedt, PHYSICIANSASSISTANT is a Physician Assistant in Meridian, Idaho. Qualified in 2000, 26 years ago. Practices with Ada West Dermatology, PC, a 26-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
26
Licensed in
ID
In the registry since
2006
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Practice location Address checks out

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457
Phone: (208) 884-3376
Fax: (208) 884-0858
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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 PA304 (ID)

Record details

NPI number1568499713
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANSASSISTANT
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1618 S. Millennium Way, Suite 100, Meridian, ID 83642-6457

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Ada West Dermatology, P.C. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian