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NPI Verification

National Provider Identifier: 1043956857

Brandon Robert Bautista

Individual Provider

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

PO BOX 190930

BOISE, ID 837190930

Phone: 208-302-9342

NPI Enumeration Date

May 5, 2022

NPI Number

1043956857

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry