NPIMap

Individual provider Active NPI

Brandon A. West, D.O.

  • Family Medicine Physician
  • Pocatello, ID
National Provider Identifier
1750490660
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O287 Issued in ID
Practice address
1133 Call PL Ste a
Pocatello, ID 83201-3076
Phone
(208) 232-1000
Fax
(208) 232-1006
NPI assigned
Aug 30, 2006
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O287 ID Primary

Addresses

Primary practice location

1133 Call PL Ste a
Pocatello, ID 83201-3076

Mailing address

PO Box 4868
Pocatello, ID 83205-4868
Phone (208) 236-1600

Other identifiers 2

IdentifierTypeStateIssuer
806053800MedicaidID
S5817OtherIDBLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WestFamilyMedicine.BrandonWest@130193.advancedmd-direct.com Health Information Exchange (HIE)

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
I20040520000448 ID Practitioner - Family Practice 8224029079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon a West DO PLLCGroup PAC ID 1153644075, 4 clinicians

Practice addresses (Care Compare)

1133 Call Creek Dr
Suite a
Pocatello, ID 83201-3000
Phone (208) 232-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O287IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon a West, DO, PLLC CurrentSince Jul 14, 2005 Accepting new patients
Judy PC PastSince Jul 21, 2014 Accepting new patients

Locations

1133 Call Creek Dr
Ste A
Pocatello, ID 83201
Phone (208) 232-1000

1133 Call Pl
#A
Pocatello, ID 83201
Phone (208) 232-1000

Interoperability endpoints

  • Direct secure messaging: westfamilymedicine.brandonwest@130193.advancedmd-direct.com

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 7

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1750490660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4868",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054868",
            "telephone_number": "208-236-1600",
            "fax_number": "208-236-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 CALL PL STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013076",
            "telephone_number": "208-232-1000",
            "fax_number": "208-232-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "BRANDON",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806053800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "S5817",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WestFamilyMedicine.BrandonWest@130193.advancedmd-direct.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1133 Call Pl Ste A",
            "city": "Pocatello",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832013076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.