BRANDON H. BROADHEAD BA
NPI 1093835753
Counselor in Pocatello, ID

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since March 29, 2007

2055 GARRETT WAY, SUITE 1, POCATELLO, ID 83201(208) 233-7832 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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Individual
Male
Counselor

About BRANDON BROADHEAD

This page provides the complete NPI Profile along with additional information for Brandon Broadhead, a provider established in Pocatello, Idaho with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1093835753 assigned on March 2007. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI: 1093835753 Verify this NPI
Provider Name: BRANDON H. BROADHEAD BA
Gender: Male
Entity Type: Individual
Location Address: 2055 GARRETT WAY SUITE 1 POCATELLO, ID 83201
Location Phone: (208) 233-7832
Mailing Address: PO BOX 4908 POCATELLO, ID 83205
Mailing Phone: (208) 236-1600
Is Sole Proprietor?: No
Enumeration Date: 03-29-2007
Last Update Date: 07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Counselor
Taxonomy Code: 101Y00000X
Type: Behavioral Health & Social Service Providers
Taxonomy Description: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.