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BRODY GEORGE YARDUMIAN
NPI 1801439815
Physician Assistant in Boise, ID

Active since October 22, 2019PECOS Enrolled
1475 N COLE RD, BOISE, ID 83704(208) 955-6500(208) 955-6503 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2021, Oct 22, 2019 (2 updates tracked since 2019).

About Brody George Yardumian NPPES

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

BRODY GEORGE YARDUMIAN (NPI 1801439815) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-1844) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801439815
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRODY GEORGE YARDUMIAN
Location Address1475 N COLE RDBoise, ID 83704-8537
Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500
Phone(208) 955-6500
Fax(208) 955-6503
Sole ProprietorYes
Enumeration DateOctober 22, 2019
Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration
NPPES CertifiedJuly 2, 2021
✔ NPI 1801439815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in ID · PA-1844✔ Licensed in CA · 57238
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1475 N COLE RD, Boise, ID 83704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brody George Yardumian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

ALLIANCE MEDICAL GROUP, LLC
Family Medicine
1475 N COLE RD
BOISE, ID 83704
Ada County (208) 809-2880
OWYHEE HEALTH AND REHAB CENTER
Skilled Nursing Facility
1475 N COLE RD
BOISE, ID 83704
Ada County (208) 375-9964
CHLOE J BERGER PA
Physician Assistant
1475 N COLE RD
BOISE, ID 83704
Ada County (208) 809-2880
CASSIA LONG TERM CARE INC DBA PARKE VIEW CARE & REHAB CENTER
Skilled Nursing Facility
1475 N COLE RD
BOISE, ID 83704
Ada County (208) 375-9964
MR. JAKE KOTR MONAGHAN FNP-C
Nurse Practitioner (Family)
1475 N COLE RD
BOISE, ID 83704
Ada County (208) 809-2880
DISCOVERY CARE CENTRE OF SALMON
Skilled Nursing Facility
1475 N COLE RD
BOISE, ID 83704
Ada County (208) 375-9964
DISCOVERY CARE CENTRE OF SALMON
Assisted Living Facility
1475 N COLE RD
BOISE, ID 83704
Ada County (208) 375-9964
MRS. GABRIELLE I DYMENT NP-C
Nurse Practitioner
1475 N COLE RD
BOISE, ID 83704
Ada County (208) 809-2880

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 Brody Yardumian's NPI number?

The NPI number for Brody Yardumian is 1801439815. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Where is Brody Yardumian located?

Brody Yardumian practices at 1475 N Cole Rd, Boise, ID 83704. The listed phone number is (208) 955-6500.

What is Brody Yardumian's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brody Yardumian enrolled in Medicare?

Yes. Brody Yardumian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brody Yardumian was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.