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

Nicholas Brandi

Individual provider Nurse Practitioner · NPI 1225858475

Nicholas Brandi is a Nurse Practitioner in Boise, Idaho. Qualified in 2024, 2 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1907 S Broadway Ave Ste 101
Boise, ID 83706-4229
Phone: (208) 345-1222
Fax: (208) 345-1261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 6661573 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 6661573 (ID)

Record details

NPI number1225858475
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 14, 2024
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing addressPo Box 191050, Boise, ID 83719-1050

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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