MR. BRADLY KENNETH LEROY BROWN (PA-C) – Family Medicine Physician, NPI 1043598477
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for MR. BRADLY KENNETH LEROY BROWN (PA-C)
2730 CHANNING WAY
IDAHO FALLS, ID 834045049
Phone: (208) 542-7100
Fax: (208) 542-7150
Type: Mailing
4003 CREEKSIDE LOOP
YAKIMA, WA 989083962
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 99 Open Payments records for all available years, with a total value of $1,568.
Total Amount is formed as General ($1,568) + Research ($0) + Ownership ($0) = $1,568.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AIMMUNE THERAPEUTICS, INC. ($234).
Total Amount
$1,568
General + Research + Ownership
Payments
99
Total payment records
General Amount
$1,568
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AIMMUNE THERAPEUTICS, INC. | $234 |
| ABBVIE INC. | $188 |
| Ardelyx, Inc. | $187 |
| NESTLE HEALTHCARE NUTRITION INC. | $167 |
| Celgene Corporation | $157 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111227000381 | I | Physician Assistant | ID | TBD |
| I20220706003404 | I | Physician Assistant | UT | TBD |
| I20251106003254 | I | Physician Assistant | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83404)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | ID | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 16 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WA | |
| Internal Medicine | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| - | WA | |
| Internal Medicine | WA | |
| Emergency Medicine | WA | |
| - | WA | |
| Family Practice | WA | |
| H E M A T O L O G Y/ O N C O L O G Y | WI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.