BRIAN GRANVALL, PA-C
Diagnostic Radiology Physician · BOISE, ID
Individual Active NPI 1205809852
Medicare payment data Part B · 2022
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2022 | 71 | 136 | $18,766 | $6,474 | $4,530 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ✓ | PA-1042 | ID |
| Physician Assistant | 363A00000X | 0110002940 | VA | |
| Physician Assistant | 363A00000X | PA10004399 | WA | |
| Physician Assistant | 363A00000X | PA 00846 | OR | |
| Surgical Physician Assistant | 363AS0400X | C04233 | MD |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Diagnostic Radiology Physician providers in Idaho
- NPI 1295705002
- NPI 1033695994
- NPI 1609813831
- NPI 1740623966
- NPI 1730441536
- NPI 1720209018
- NPI 1104873389
- NPI 1578726683
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.