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

William Brandenburg, MD

Individual provider Family Medicine Physician · NPI 1619325180

William Brandenburg, MD is a Family Practice in Boise, Idaho. Graduated from University of Colorado School of Medicine, Denver in 2012, 14 years ago. Practices with Rural Physicians Group-Pannu PLLC, a 135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Idaho.

Years since qualifying
14
Trained at
University of Colorado School of Medicine, Denver
Licensed in
CO, ID
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 615 Fairhurst St, Sterling, CO 80751-4523 — (970) 522-0122

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MRM-1583 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR.0073631 (CO)

Record details

NPI number1619325180
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2016
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address777 N Raymond St, Boise, ID 83704-9251

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2012 (14 years in practice)
Group practice Rural Physicians Group-Pannu Pllc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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