Brianna Thomson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-2686 Issued in ID

Practice address

3811 N Garden Center Way
Boise, ID 83703-5007

Phone

(208) 287-5525

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

At Still University, Arizona School of Dentistry & Oral HLTH, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Pine Dermatology PLLCGroup PAC ID 8729366455, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mountain Pine Dermatology, PLLC

  • Dermatology Physician
  • Meridian, ID
  • NPI 1659827665
  Medicare reassignment Care Compare group
• Lindie Borton M.D. PA

  • Dermatology Physician
  • Boise, ID
  • NPI 1700040532
  NPD
• Ennis Endocrinology, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Meridian, ID
  • NPI 1902143134
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1487388997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 N GARDEN CENTER WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035007",
            "telephone_number": "208-287-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 N GARDEN CENTER WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035007",
            "telephone_number": "208-287-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "BRIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra A Thompson, MD
• Stephanie Larie Thompson, NP
• Victoria Thompson
• Travis Thoms
• Jennifer R Thomsen, DPT, PT
• Brook Allen Thomson, M.D.
• Carlee D Thomson, DC
• Nicholas Thomson, MD
• Sara B Thomson, MD
• Micah Thoreson, NP

• Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.