NPI age
20 years
Enumerated 2006-02-13
● Active
Type 1 · Individual
Brian E Granvall, PA-C
Granvall is 1 of 91 radiology providers in Boise and 1 of 248 in Idaho.
Primary specialty
Radiology
Plus 4 subspecialties
Licensed in
ID, VA, WA, OR, MD
5 states
Status
Active
No deactivations on record
Last NPPES update
2022-01-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 248 active radiology providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
5 states
Top 76% — 23% of peers are multi-state
Subspecialties
2
In the 33% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
190 E Bannock St
Boise, ID 837126241
Mailing address
Po Box 1108
Corvallis, OR 973391108
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
Physician AssistantDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 8326142 |
Multi-state credentialing: Licensed in 5 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.