Brian Floyd Waldron, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12457925-1206 Issued in UT

Practice address

2965 E Tarpon Dr
Meridian, ID 83642-9009

Phone

(208) 918-2525

NPI assigned

Aug 6, 2021

Last updated

May 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 UT, ID2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Precision Medical Care LLCGroup PAC ID 2264831031, 6 clinicians

Family First Medical Center PLLCGroup PAC ID 1052480076, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21377/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/JIHBAA

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.

• Family First Medical Center, PLLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1033314273
  Medicare reassignment Care Compare group
• Precision Medical Care LLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1780266288

  UT

  Medicare reassignment Care Compare group
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  UT

  Medicare reassignment
• Utah Valley Dermatology PC

  • Dermatology Physician
  • Lehi, UT
  • NPI 1922368927
  Medicare reassignment
• Associates in Family Practice Inc

  • Family Medicine Physician
  • Gooding, ID
  • NPI 1326002650
  NPD (past)
• Family First Medical Center

  • Geriatric Medicine (Family Medicine) Physician
  • Edinburg, TX
  • NPI 1326246901
  NPD (past)

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1801560354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 E TARPON DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429009",
            "telephone_number": "208-918-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 E TARPON DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429009",
            "telephone_number": "208-918-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Crestwood Ln",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834044979",
            "country_code": "US",
            "telephone_number": "208-552-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Idaho St",
            "address_purpose": "LOCATION",
            "city": "Wendell",
            "state": "ID",
            "postal_code": "833555038",
            "country_code": "US",
            "telephone_number": "208-934-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4640 Frogs Landing",
            "address_purpose": "LOCATION",
            "city": "Hagerman",
            "state": "ID",
            "postal_code": "833325034",
            "country_code": "US",
            "telephone_number": "208-934-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Idaho St",
            "address_purpose": "LOCATION",
            "city": "Gooding",
            "state": "ID",
            "postal_code": "833301258",
            "country_code": "US",
            "telephone_number": "208-934-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "BRIAN",
        "middle_name": "FLOYD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12457925-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.