Individual
BRANDON G ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
712 AVIATION WAY, CALDWELL, ID 83605-1154
(208) 302-7620
(208) 302-7192
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6998A
WY
207Q00000X
Family Medicine Physician
DO-162239
OR
207Q00000X
Family Medicine Physician
Primary
O-303
ID
207Q00000X
Family Medicine Physician
OP60518627
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0344673
LABOR AND INDUSTRIES
WA
05
—
1199099-00
—
WY
05
—
2043374
—
WA
Enumeration date
06/01/2006
Last updated
08/27/2025
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