Skip to content

Brandon Micah Brevig, D.O.

NPI 1306057641ActiveIndividual· Physical Medicine & Rehabilitation· Boise, ID

Opted out of Medicare from November 2015 to November 2027. Physical Medicine & Rehabilitation (D.O.) in Boise, Idaho, licensed in NY, with an NPI issued in May 2007.

Overview

NPI1306057641
StatusActive
Entity typeIndividual
CredentialD.O.
Sole proprietorYes
NPI issuedMay 25, 2007
Last updated in NPPESJan 6, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Physical Medicine & Rehabilitation Primary208100000X11-6037195NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Nov 30, 2015 – Nov 30, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physical Medicine & Rehabilitation providers in Boise

All Physical Medicine & Rehabilitation providers in Idaho →