Organization Active NPI

Healing Touch Osteopathic PC

  • General Practice Physician
  • Garden City, ID
National Provider Identifier
1306435490
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HEALING TOUCH OSTEOPATHIC PC
Practice address
10199 W Carlton Bay Dr
Garden City, ID 83714-5150
Phone
(208) 488-8408
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Brandon Micah Brevig, DONPI 1306057641
Title
Owner
Phone
(208) 994-4962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10199 W Carlton Bay Dr
Garden City, ID 83714-5150

Mailing address

8123 Casa Real LN
Boise, ID 83714-2543
Phone (208) 488-8408

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1306435490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8123 CASA REAL LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837142543",
            "telephone_number": "208-488-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10199 W CARLTON BAY DR",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837145150",
            "telephone_number": "208-488-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TOUCH OSTEOPATHIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "BREVIG",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MICAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-994-4962",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.