Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Brian E Granvall, PA-C

Diagnostic Radiology Physician in Boise, ID · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205809852

Verified

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Registry record

Entity type Individual (Type 1)

Name Brian E Granvall

Credential PA-C

Sex Male

Practice address 190 E Bannock St, Boise, ID, 83712

Phone (208) 381-2094

Fax (208) 381-1791

Enumeration date Feb 13, 2006

Last updated in NPPES Jan 31, 2022

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0110002940 (VA) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA10004399 (WA) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA 00846 (OR) Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License C04233 (MD) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License PA-1042 (ID) Primary

Other identifiers

Identifier	Type	State	Issuer
8326142	Medicaid	WA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Brian Granvall?

The National Provider Identifier (NPI) for Brian Granvall is 1205809852, a Type 1 (individual) record in the CMS NPPES registry.

Where does Brian Granvall practice?

The practice location on file with NPPES is in Boise, ID. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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St Lukes Regional Medical Center General Acute Care Hospital · Boise, ID NPI 1770586794 David Hightower Emergency Medicine Physician · Boise, ID NPI 1720089527 Tami Stone Pharmacy Technician · Boise, ID NPI 1518969328 St Luke'S Reg Med Ctr Employee Outpt Pharmacy Pharmacy · Boise, ID NPI 1023010642 Marie Hetherington Pharmacist · Boise, ID NPI 1427045434 Katherine Stevens Pediatrics Physician · Boise, ID NPI 1124017462 Peter Cliften Internal Medicine Physician · Boise, ID NPI 1760473771 Scott Robison Pharmacist · Boise, ID NPI 1518940501

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-31.