P Praxis·MD
● Active Type 1 · Individual

Brett W Zundel, P.A-C

Physician Assistant·Saint Anthony, ID· NPI 1730222365 · Enumerated 2007 · 19 years on NPI
Zundel is 1 of 1 physician assistant providers in Saint Anthony and 1 of 387 in Idaho.
NPI age
19 years
Enumerated 2007-02-14
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
39 N 8th W
Saint Anthony, ID 834451337
📞 2084196423fax 2083793520
Mailing address
39 N 8th W
Saint Anthony, ID 834451337
📞 2084196423fax 2083793520

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA197 taxonomy 363AM0700X

Identifiers

TypeValueNotes
01 (ID) 0007309726 AETNA
01 (ID) 000010006458 BLUE SHIELD
01 (ID) PAYL7 BLUE CROSS
05 (ID) 805130800

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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