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

Mr. Brent Taylor

Individual provider Physician Assistant · NPI 1780032649

Mr. Brent Taylor is a Physician Assistant in Meridian, Idaho. Qualified in 2017, 9 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2016
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Practice location Address checks out

2347 E Gala St
Meridian, ID 83642-4881
Phone: (208) 706-6718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1578 (ID)

Record details

NPI number1780032649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 1, 2016
Last updated in NPPESMarch 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Meridian