Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brent Leavitt

Individual provider Physician Assistant · NPI 1740650548

Brent Leavitt is a Physician Assistant in Chubbuck, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2015

Practice location Address checks out

4928 Pleasant View Dr
Chubbuck, ID 83202-1640
Phone: (208) 760-9416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1299 (ID)

Record details

NPI number1740650548
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2015
Last updated in NPPESOctober 6, 2015

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