NPIMap

Individual provider Active NPI

Brian Keith Crownover, MD, FAAFP

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1295729085
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M11819 Issued in ID
Practice address
2428 N Stokesberry PL
Meridian, ID 83646-5035
Phone
(208) 895-0050
Fax
(855) 543-3086
NPI assigned
Sep 7, 2005
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M11819 ID
Family Medicine Physician 207Q00000X M11819 ID Primary

Addresses

Primary practice location

2428 N Stokesberry PL
Meridian, ID 83646-5035

Mailing address

2428 N Stokesberry PL
Treasure Valley Family Medicine
Meridian, ID 83646-5035
Phone (208) 895-0050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian.crownover.1@9177.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402001851 ID Practitioner - Family Practice 5294924163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Treasure Valley Family Medicine PLLCGroup PAC ID 0244450575, 3 clinicians

Practice addresses (Care Compare)

2428 N Stokesberry PL
Meridian, ID 83646-5035
Phone (208) 895-0050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M11819IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Valley Family Medicine, PLLC Family Medicine CurrentSince May 14, 2014 Accepting new patients
A New Leaf, Inc Family Medicine Past Accepting new patients

Locations

2428 N Stokesberry Pl
Meridian, ID 83646
Phone (208) 895-0050

Interoperability endpoints

  • Direct secure messaging: brian.crownover.1@9177.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9177/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1295729085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 N STOKESBERRY PL",
            "address_2": "TREASURE VALLEY FAMILY MEDICINE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465035",
            "telephone_number": "208-895-0050",
            "fax_number": "208-887-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 N STOKESBERRY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465035",
            "telephone_number": "208-895-0050",
            "fax_number": "855-543-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWNOVER",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD, FAAFP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ID",
            "license": "M11819",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M11819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.crownover.1@9177.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MIME format",
            "address_1": "2428 N Stokesberry Pl",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836465035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.