Individual provider Active NPI

Mark E Briggs, PA-C

  • Physician Assistant
  • Meridian, ID
National Provider Identifier
1861726259
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1351 Issued in ID
Practice address
867 S Vanguard Way
Meridian, ID 83642-7552
Phone
(208) 463-3000
NPI assigned
Oct 1, 2009
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9105223 FL
Physician Assistant 363A00000X PA-1351 ID Primary

Addresses

Primary practice location

867 S Vanguard Way
Meridian, ID 83642-7552

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

9850 W St Lukes Dr Ste 129
Nampa, ID 83687-7912
Phone (208) 205-7600

Other practice location 2

8390 Champions Gate Blvd
Suite 306
Champions Gate, FL 33896-8310
Phone (407) 390-1677 ext. 205

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
I20170106000498 ID Practitioner - Physician Assistant 7810038320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians
Dandg Medical Associates PLLCGroup PAC ID 6709140510, 16 clinicians

Practice addresses (Care Compare)

1210 NW 16TH St
Fruitland, ID 83619-2202
Phone (208) 452-8600

200 W Beech St
Caldwell, ID 83605-5692
Phone (208) 459-3335

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

9580 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2711

9850 St Lukes Dr
Nampa, ID 83687-7912

9850 W St Luke's Dr
Nampa, ID 83687-7912

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-1351IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jan 1, 2017 Accepting new patients
Advance Technological Radiology, PA Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Saint Alphonsus Regional Medical Center Inc PastSince Nov 20, 2022 Accepting new patients
Emergency Physician Specialists Inc PastSince Feb 1, 2013 Accepting new patients
Pivot Operations, LLC PastSince Jul 24, 2022 Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

215 E Hawaii Ave
Ste 306
Nampa, ID 83686

9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1861726259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 S VANGUARD WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427552",
            "telephone_number": "208-463-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 W St Lukes Dr Ste 129",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836877912",
            "country_code": "US",
            "telephone_number": "208-205-7600",
            "fax_number": "208-205-7603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8390 Champions Gate Blvd",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Champions Gate",
            "state": "FL",
            "postal_code": "338968310",
            "country_code": "US",
            "telephone_number": "407-390-1677 x205",
            "fax_number": "407-390-1765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105223",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.