Active NPI
Benjamin Dean Brown, PA-C
- Physician Assistant
- Garden Valley, ID
National Provider Identifier
1851170146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 856 Banks Lowman Rd
Garden Valley, ID 83622-8102 - Phone
- (208) 462-3533
- NPI assigned
- Sep 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
856 Banks Lowman Rd
Garden Valley, ID 83622-8102
Mailing address
2106 Gables Dr NE
Brookhaven, GA 30319-4181
Phone (385) 444-6106
Other practice location 1
5963 W Avimor Dr Ste 140
Boise, ID 83714-2597
Phone (208) 810-4282
Other practice location 2
102 Quinn St
Horseshoe Bend, ID 83629-5126
Phone (208) 793-2257
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
856 Banks Lowman Rd
Garden Valley, ID 83622-8102
Phone (208) 462-5533
Hospital & facility affiliations
- Valor Health
- St Luke'S Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Physical Therapy PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Garden Valley, ID
- NPI 1245312750
-
- Physical Therapist
- Boise, ID
- NPI 1659540995
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Critical Access Hospital
- Emmett, ID
- NPI 1063419018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1851170146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 GABLES DR NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303194181",
"telephone_number": "385-444-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "856 BANKS LOWMAN RD",
"city": "GARDEN VALLEY",
"state": "ID",
"postal_code": "836228102",
"telephone_number": "208-462-3533"
}
],
"practiceLocations": [
{
"address_1": "5963 W Avimor Dr Ste 140",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837142597",
"country_code": "US",
"telephone_number": "208-810-4282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Quinn St",
"address_purpose": "LOCATION",
"city": "Horseshoe Bend",
"state": "ID",
"postal_code": "836295126",
"country_code": "US",
"telephone_number": "208-793-2257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "BENJAMIN",
"middle_name": "DEAN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-26",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Valley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.