P Praxis·MD
● Active Type 1 · Individual

James M Brannon, ED.D.

Psychologist·Rexburg, ID· NPI 1518090604 · Enumerated 2007 · 19 years on NPI
Brannon is 1 of 3 psychologist providers in Rexburg and 1 of 38 in Idaho.
NPI age
19 years
Enumerated 2007-03-14
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 38 active psychologist providers in Idaho.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 34% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
534 Trejo Street, Suite 100
Rexburg, ID 83440
📞 2083590556fax 2083569498
Mailing address
534 Trejo Street, Suite 100
Rexburg, ID 83440
📞 2083590556

Specialties

  • Psychologist Primary
    A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and...
    ID license #PSY 266 taxonomy 103TC1900X
  • Psychologist
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    ID license #PSY 266 taxonomy 103T00000X

Identifiers

TypeValueNotes
01 (ID) 0010016779 REGENCE BLUE SHIELD OF ID
01 (ID) N2662 BLUE CROSS OF IDAHO

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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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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