NPI age
14 years
Enumerated 2011-10-24
● Active
Type 1 · Individual
Brandon Dee Tanner, PA
Tanner is 1 of 59 physician assistant providers in Twin Falls and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-10Enumerated in NPPES
2011
2026
Where they practice
Practice location
388 Martin St
Twin Falls, ID 833014544
Mailing address
794 Eastland Dr
Twin Falls, ID 833016856
Specialties
-
Physician Assistant PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 865N24 | BCBS TEXAS |
| 05 (TX) | 289207701 |
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Twin Falls in the last 180 days.
See all →
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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.
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