Brandon C Hanson (NPI# 1518292655, PAC ID# 1951445410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1518292655 |
| PAC ID by PECOS | 1951445410 |
| Professional Enrollment ID | I20140227000647 |
| Full Name | Brandon C Hanson |
| Organization Legal Name | HUNTSMAN ORTHOPAEDIC SURGERY AND SPORTS MEDICINEPA |
| Address |
3300 Washington Pkwy Idaho Falls ID 83404-7592 |
| Phone Number | 2085226662 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2163519141 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130065 | MOUNTAIN VIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 | 2085226662 | HUNTSMAN ORTHOPAEDIC SURGERY AND SPORTS MEDICINEPA |
| Organization Legal Name | HUNTSMAN ORTHOPAEDIC SURGERY AND SPORTS MEDICINEPA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance B Turpin | Physician Assistant | Huntsman Orthopaedic Surgery and Sports Medicinepa | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 |
| Casey I Huntsman | Orthopedic Surgery | Huntsman Orthopaedic Surgery and Sports Medicinepa | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 |
| Street Address |
3300 WASHINGTON PKWY |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83404-7592 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee S Gardner | Physician Assistant | Dallco Orthopaedics and Sports Medicine | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 |
| Lance B Turpin | Physician Assistant | Huntsman Orthopaedic Surgery and Sports Medicinepa | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 |
| Jason G Dalling | Orthopedic Surgery | Dallco Orthopaedics and Sports Medicine | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 |
| Casey I Huntsman | Orthopedic Surgery | Huntsman Orthopaedic Surgery and Sports Medicinepa | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 |
| Brandon Mennear | Orthopedic Surgery | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 | |
| Gregory E Biddulph | Orthopedic Surgery | Gregory E Biddulph Orthopedics | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Sharp-marsden | Nurse Practitioner | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | |
| Lisa Hong | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brent Kennedy | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Heidi Duran | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Rebecca L Butikofer | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kristan Bullock | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Dawn Taylor | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brenda Padron | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kimberly Stowell | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Michael Anderson | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Find all physicians in zip 83404 | |||
| City | IDAHO FALLS |
| Zip Code | 83404 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | IDAHO FALLS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Brandon C Hanson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.