NPI

Brian Floyd Waldron

NPI 1801560354

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PA-C
Type
Individual
Enumeration date
2021-08-06
Last updated
2025-05-07

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Specialties

Licenses

License UT
12457925-1206

Location

Practice location
2965 E Tarpon Dr
City
Meridian ID
Postal code
83642-9009
Phone
(208) 918-2525

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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