WEST FAMILY MEDICINE – NPI #1780808022
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

WEST FAMILY MEDICINE is a provider located in POCATELLO, ID. NPPES has assigned the NPI number 1780808022 to WEST FAMILY MEDICINE on April 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WEST FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is BRANDON A WEST, DO, PLLC. The primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

The NPI profile was previously updated about 5 years ago on Aug 18, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEST FAMILY MEDICINE below.

NPI Profile for
BRANDON A WEST, DO, PLLC

NPI Number
1780808022
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRANDON A WEST, DO, PLLC
Doing Business As (dba): WEST FAMILY MEDICINE
Primary location
1133 CALL CREEK PLACE
SUITE A
POCATELLO, ID 83201
Phone: (208) 232-1000 Fax:
Mailing address
PO BOX 4868
POCATELLO, ID 83205-4868
Phone: (208) 232-1000 Fax: (208) 232-1006
Organization Subpart
No
Authorized Official
BRANDON WEST
OWNER
Phone: (208) 232-1000
Updated
Certification Date
Aug 18, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.