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

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: August 09, 2026.

About Brandon H. Broadhead Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON H. BROADHEAD BA (NPI 1093835753) is an individual counselor in Pocatello, Idaho and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1093835753
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBRANDON H. BROADHEADCredential: BA
Location Address2055 GARRETT WAY, SUITE 1Pocatello, ID 83201-5100
Mailing AddressPo Box 4908Pocatello, ID 83205-4908 · (208) 236-1600
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1093835753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
2055 GARRETT WAY, Pocatello, ID 83201

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2055 GARRETT WAY, STE 2
POCATELLO, ID 83201
Counselor
2055 GARRETT WAY, STE 2
POCATELLO, ID 83201
Counselor (Mental Health)
2055 GARRETT WAY, STE A
POCATELLO, ID 83201
Counselor (Mental Health)
2055 GARRETT WAY, STE 1
POCATELLO, ID 83201
Counselor (Mental Health)
2055 GARRETT WAY, STE. 1
POCATELLO, ID 83201
Counselor
2055 GARRETT WAY, STE 2
POCATELLO, ID 83201
Counselor
2055 GARRETT WAY, SUITE 1
POCATELLO, ID 83201
Counselor (Mental Health)
2055 GARRETT WAY, STE 1
POCATELLO, ID 83201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Broadhead's NPI number?

The NPI number for Brandon Broadhead is 1093835753. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Brandon Broadhead located?

Brandon Broadhead practices at 2055 Garrett Way Suite 1, Pocatello, ID 83201. The listed phone number is (208) 233-7832.

What is Brandon Broadhead's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Brandon Broadhead was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.