Look up the most recent NPI and PECOS records

Brandon Stirling

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Brandon Stirling is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1528676202
Provider Type
Individual
Full Name
Stirling, Brandon
Title
Mr.
Credential
PA-C

Gender
Male
Sole Proprietor
Yes
Enumeration Date
7/17/2020
Last Updated
9/3/2025

Contact Information

Practice Location

190 E Bannock St, Boise, ID 83712-6241

(208) 381-2235

(208) 381-4556

Mailing Location

190 E Bannock St, Boise, ID 83712-6241

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 9771961 Idaho
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA2509 Nevada

Brandon Stirling

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Blanchet, Amanda

Nizich, Samantha Marie

Conlin, Cheryl Ann

Gorham, Amber Zoe

Chism, Sarah

Box, Nicholas J

Campbell, Joseph

Hurty, Michelle R

Baggs, Jacqueline

Lynn, Michael Brian