P Praxis·MD
● Active Type 1 · Individual

DR. Leonardo B C Brasiliense, MD

Neurological Surgery·Boise, ID· NPI 1689052664 · Enumerated 2015 · 11 years on NPI
Brasiliense is 1 of 38 neurological surgery providers in Boise and 1 of 69 in Idaho.
NPI age
11 years
Enumerated 2015-05-11
Primary specialty
Neurological Surgery
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-08-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 69 active neurological surgery providers in Idaho.

NPI age
11 years
↓ 8 yr below median (19 yr)
State licenses
2 states
Top 79% — 20% of peers are multi-state
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-05Enumerated in NPPES
2015 2026

Where they practice

Practice location
1072 N Liberty St Ste 200
Boise, ID 837048963
📞 2083024100fax 2083024135
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2082367051fax 2083675180

Additional practice locations

1 secondary location on file with NPPES.

Location 2
550 17th Ave Ste 110
Seattle, WA 981225789
📞 2063203470fax 2063203471

Specialties

  • Neurological Surgery Primary
    A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems,...
    ID license #M-17423WA license #MD61270647 taxonomy 207T00000X

Identifiers

TypeValueNotes
05 (WA) 2213825
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 9 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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