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

Mr. Brian Kevin Taft, PAC

Individual provider Medical Physician Assistant · NPI 1184142606

Mr. Brian Kevin Taft, PAC is a Physician Assistant in Coeur D Alene, Idaho. Graduated from University of Washington School of Medicine in 2018, 8 years ago. Practices with Praxis Health PC, a 176-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
8
Trained at
University of Washington School of Medicine
Licensed in
ID, WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1130 W Prairie Ave
Coeur D Alene, ID 83815-8780
Phone: (208) 209-0288
Fax: (208) 209-0289
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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-2587 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA60913443 (WA)

Record details

NPI number1184142606
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 5, 2017
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Praxis Health Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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