P Praxis·MD
● Active Type 1 · Individual

Brandon Smith, NP-C

Nurse Practitioner·Chubbuck, ID· NPI 1255947255 · Enumerated 2020 · 5 years on NPI
Smith is 1 of 3 nurse practitioner providers in Chubbuck and 1 of 658 in Idaho.
NPI age
5 years
Enumerated 2020-09-16
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
5 years
↓ 3 yr below median (8 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-09Enumerated in NPPES
2020 2026

Where they practice

Practice location
5067 Camden St
Chubbuck, ID 832023501
📞 2088400044
Mailing address
5067 Camden St
Chubbuck, ID 832023501

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    ID license #65705 taxonomy 363L00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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