Individual provider Active NPI

Brian Leon Harlan, MD

  • Psychiatry Physician
  • Coeur d'Alene, ID
National Provider Identifier
1760579585
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6626833-1205 Issued in UT
Practice address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone
(208) 625-4870
Fax
(208) 625-4878
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01079485A IN
Psychiatry Physician 2084P0800X 6626833-1205 UT Primary
Psychiatry Physician 2084P0800X 2026-02473 NC
Psychiatry Physician 2084P0800X MD-43999 IA
Psychiatry Physician 2084P0800X MD60662872 WA

Addresses

Primary practice location

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4870

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 353-6963

Other practice location 2

1000 E 100 N
Payson, UT 84651-1600
Phone (801) 299-3781

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bharlan637224@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MO, FL, AZ, IL, MI, LA, VA, TN, NC, NJ, MA, PA13 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
I20080318000547 UT Practitioner - PsychiatryPractitioner - Other (Physician) 4284656216 Reassigns benefits to 1 organization
I20180417000868 MO Practitioner - Psychiatry 4284656216 Reassigns benefits to 2 organizations
I20200330001359 FL Practitioner - Psychiatry 4284656216 Reassigns benefits to 1 organization
I20210113002567 AZ Practitioner - Psychiatry 4284656216 Reassigns benefits to 1 organization
I20260506001740 IL Practitioner - Psychiatry 4284656216 Reassigns benefits to 1 organization
I20260506003037 MI Practitioner - Psychiatry 4284656216 Reassigns benefits to 1 organization
I20260507000490 LA Practitioner - Psychiatry 4284656216 Reassigns benefits to 1 organization
I20260511000497 VA Practitioner - Psychiatry 4284656216 Reassigns benefits to 1 organization
I20260513000001 TN Practitioner - Psychiatry 4284656216 Reassigns benefits to 1 organization
I20260514001641 NC Practitioner - Psychiatry 4284656216 Reassigns benefits to 1 organization
I20260516000345 NJ Practitioner - Psychiatry 4284656216 Reassigns benefits to 1 organization
I20260526001597 MA Practitioner - Psychiatry 4284656216 Reassigns benefits to 1 organization
I20260601002656 PA Practitioner - Psychiatry 4284656216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountainstar Behavioral Health LLCGroup PAC ID 1052558186, 13 clinicians

Practice addresses (Care Compare)

1000 E 100
Payson, UT 84651-1600
Phone (801) 465-7000

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-3423

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60662872WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Psychiatry CurrentSince Jan 24, 2026 Accepting new patients
Mountainstar Behavioral Health LLC CurrentSince Jan 1, 2022 Accepting new patients
State University of Iowa Past Accepting new patients
University of Utah Medical Center Psychiatry Psychiatry Past Accepting new patients
Alternative Oppurtunities Past Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1000 E 100 N
Payson, UT 84651
Phone (801) 465-7000

Interoperability endpoints

  • Direct secure messaging: bharlan637224@wm.providencedirect.org

Organizations & group practices 6

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 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1760579585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-625-4870",
            "fax_number": "208-625-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-625-4870",
            "fax_number": "208-625-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-353-6963",
            "fax_number": "319-356-2587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E 100 N",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846511600",
            "country_code": "US",
            "telephone_number": "801-299-3781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "BRIAN",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01079485A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "6626833-1205",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2026-02473",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD-43999",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60662872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bharlan637224@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 W 8th Ave Ste 450E",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.