NPI age
20 years
Enumerated 2005-11-02
● Active
Type 1 · Individual
Brian David Miller, PA-C BS
Miller is 1 of 44 physician assistant providers in Idaho Falls and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
2680 Channing Way
Idaho Falls, ID 834047517
Mailing address
2680 Channing Way
Idaho Falls, ID 834047517
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1041907 | PACIFIC SOURCE |
| 05 (ID) | 8059104-00 | |
| 01 (ID) | PA-309 | ID STATE LISC |
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 387 Physician Assistant providers in Idaho?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.