Individual provider Active NPI

Andrew Logan Brower, PA-C

  • Physician Assistant
  • Saint Anthony, ID
National Provider Identifier
1760766976
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-939 Issued in ID
Practice address
335 E Main St Ste 1
Saint Anthony, ID 83445-1546
Phone
(208) 356-4900
Fax
(208) 624-4116
NPI assigned
Oct 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-939 ID Primary

Addresses

Primary practice location

335 E Main St Ste 1
Saint Anthony, ID 83445-1546

Mailing address

PO Box 18
Saint Anthony, ID 83445-0018
Phone (208) 356-4900

Other practice location 1

72 S 1st E Ste 101
Rexburg, ID 83440-1965
Phone (208) 356-4900

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120827000887 ID Practitioner - Physician Assistant 2961659990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Valley Community Health Services Inc 31 clinicians

Practice addresses (Care Compare)

335 E Main St
Saint Anthony, ID 83445-1546
Phone (208) 356-4900

72 S 1St
Suite 103
Rexburg, ID 83440-1965
Phone (208) 356-4900

Hospital & facility affiliations

  • Rexburg Home Health Home health agency, Rexburg, ID, CCN 137090
  • Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Community Health Services Inc CurrentSince May 9, 2015 Accepting new patients
Upper Valley Community Health Services, Inc. CurrentSince May 9, 2015 Accepting new patients
Upper Valley Community Health Services Inc Past Accepting new patients
Upper Valley Community Health Services Inc Past Accepting new patients
Upper Valley Community Health Services Inc Past Accepting new patients

Locations

3729 Woodking Dr
#1
Idaho Falls, ID 83404
Phone (208) 522-3404

72 S 1st E
Ste 101
Rexburg, ID 83440

335 E Main St
Ste 1
Saint Anthony, ID 83445

335 E Main St
Saint Anthony, ID 83445
Phone (208) 624-4100

20 N 3rd E
Saint Anthony, ID 83445
Phone (208) 624-4100

335 E Main St
Ste 3
Saint Anthony, ID 83445
Phone (208) 624-4100

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1760766976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834450018",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E MAIN ST STE 1",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834451546",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 S 1st E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834401965",
            "country_code": "US",
            "telephone_number": "208-356-4900",
            "fax_number": "208-356-3724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWER",
        "first_name": "ANDREW",
        "middle_name": "LOGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Anthony, ID

Sources for this page

Verify at the official NPI Registry.